Individual
DEJA KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1640 N WELLS ST UNIT 103, CHICAGO, IL 60614-6006
(219) 707-3290
Mailing address
297 W THISTLE RD, VALPARAISO, IN 46385-0011
(219) 707-3290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016341
IL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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