Individual
MISS KATIE SUZANN CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
8231 ROUTE 166, CREAL SPRINGS, IL 62922-2521
(618) 218-3351
Mailing address
8231 ROUTE 166, CREAL SPRINGS, IL 62922-2521
(618) 218-3351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010266
IL
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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