Individual
KIRBY ALLEN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1120 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1461
(815) 244-4181
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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