Individual
KIMBERLY S LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
535 E 46TH PL, UNIT 3, CHICAGO, IL 60653-4233
(312) 545-5770
Mailing address
535 E 46TH PL, UNIT 3, CHICAGO, IL 60653-4233
(312) 545-5770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009720
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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