Individual
KATHLEEN DAWN NICHOLSON-SCHAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5220 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5735
(636) 733-3330
Mailing address
920 ESTILL DR, SPRINGFIELD, IL 62707-8561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
05/31/2022
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