Individual
KAILEY EISENMENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7045 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1306
(877) 787-3422
Mailing address
509 GARDEN CT, CHATHAM, IL 62629-1718
(217) 722-6937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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