KENNETH JAMES FLORENCE

BLOOMINGTON, IL
NPI1427929645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057-000930)
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
Mr. KENNETH JAMES FLORENCE OTA
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-661-6260
Mailing Address
Mr. KENNETH JAMES FLORENCE OTA
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-661-6260