KAILEY N HERTER

DECATUR, IL
NPI1376015750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057005021)
Enumeration Date2018-12-21
Last Update Date2018-12-21
Business Address
KAILEY N HERTER COTA/L
7945 BENTONVILLE RD
DECATUR, IL 62521-9512
Phone number: 217-620-9074
Mailing Address
KAILEY N HERTER COTA/L
7945 BENTONVILLE RD
DECATUR, IL 62521-9512
Phone number: 217-620-9074
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