Individual
BETHANY KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4619 N RAVENSWOOD AVE STE 205B, CHICAGO, IL 60640-4579
(773) 697-7333
Mailing address
9150 S BELL AVE, CHICAGO, IL 60643-6705
(773) 226-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014050
IL
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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