Individual
KERI A PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
(618) 548-4902
Mailing address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
(618) 548-4902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005578
IL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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