Individual
KAYLA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
180 W IMBODEN DR, DECATUR, IL 62521-5238
(217) 422-6464
Mailing address
2870 N 1825 EAST RD, BLUE MOUND, IL 62513-8623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016060
IL
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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