Individual
MRS. KELLY MARIE CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
40W310 LAFOX RD, SUITE 1A, ST CHARLES, IL 60175-6588
(630) 444-0078
Mailing address
1025 CRANE PT, ELGIN, IL 60124-7885
(630) 452-2422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007899
IL
Other
Enumeration date
01/02/2007
Last updated
01/29/2009
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