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Individual

KIMBERLEY MARIE POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4721 MIDLOTHIAN TPKE, CRESTWOOD, IL 60445-1987
(708) 448-1690
Mailing address
11701 S RIDGELAND AVE, WORTH, IL 60482-2439
(708) 448-1690

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002964
IL

Other

Enumeration date
07/09/2009
Last updated
07/09/2009
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