Individual
KARA STOCKWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 BROOKVIEW DR, FARMER CITY, IL 61842-9746
(309) 928-2302
Mailing address
404 BROOKVIEW DR, FARMER CITY, IL 61842-9746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002731
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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