Individual
KATE JOANN HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 W HILLCREST DR, CHILLICOTHE, IL 61523-2258
(309) 274-2194
Mailing address
53 BAY SHORE DR, LACON, IL 61540-9602
(309) 370-7722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004340
IL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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