Individual
KRISTEN CLAYBROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-9035
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.005728
IL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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