Individual
KATHRYN E WASSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10354 PRAIRIE DELL RD, SHIPMAN, IL 62685-6105
(618) 973-3615
Mailing address
10354 PRAIRIE DELL RD, SHIPMAN, IL 62685-6105
(618) 973-3615
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056003008
IL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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