Individual
MISS KORIE L KELVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
803 MANCHESTER DR, SOUTH BEND, IN 46615-3233
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002627A
IN
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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