Individual
KAITLIN FLOARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1525 LOCUST ST, RED BUD, IL 62278-1374
(618) 282-6251
Mailing address
1525 LOCUST ST, RED BUD, IL 62278-1374
(618) 282-6251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010749
IL
225XN1300X
Neurorehabilitation Occupational Therapist
056.010749
IL
225XP0200X
Pediatric Occupational Therapist
056.010749
IL
Other
Enumeration date
02/26/2015
Last updated
03/17/2018
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