Individual
MS. KERMEISHA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6641 S. ARTESIAN, CHICAGO, IL 60629
(312) 810-0214
Mailing address
1405 N. HARLEM, UNIT C, OAK PARK, IL 60302
(312) 810-0214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006109
IL
Other
Enumeration date
05/18/2008
Last updated
10/10/2016
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