Individual
KATHRYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3909 5TH STREET, EAST, IL 61244
(309) 737-7289
Mailing address
3909 5TH STREET, EAST, IL 61244
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056008430
IL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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