Kathryn Whiteside, OTR

NPI #1518021989 in Anna, Illinois

Provider Information

NPI Number: 1518021989
Entity Type: Individual
Name: Kathryn Whiteside, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 515 E VIENNA ST
Address 2: SUITE I
City: Anna
State: Illinois
ZIP Code: 62906-2029
Phone: (618) 833-1506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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