Kolina Arlene Baucom, O.T.

NPI #1043569270 in Carthage, Illinois

Provider Information

NPI Number: 1043569270
Entity Type: Individual
Name: Kolina Arlene Baucom, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Sep 4, 2012
Last Updated: Oct 26, 2016

Practice Location

Address: 620 WABASH AVE
City: Carthage
State: Illinois
ZIP Code: 62321-1444
Phone: (217) 357-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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