MS. Kellie Marie Headrick, COTA/L
NPI #1538557145 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1538557145
- Entity Type
- Individual
- Name
- MS. Kellie Marie Headrick, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 924 S COMMERCIAL ST
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2637
- Phone
- (618) 252-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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