Individual
KAILEY SUZANNE CROSSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
705 S HOUSTON ST, TAYLORVILLE, IL 62568-9349
(217) 824-2222
Mailing address
510 S SHUMWAY ST APT 8, TAYLORVILLE, IL 62568-2400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0.56.008929
IL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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