Kemba Carter, COTA/L
Occupational Therapy Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1336640481
StatusActive
Last updated in NPPESFeb 23, 2018
Details
- NPI
- 1336640481
- Entity type
- Individual (NPI-1)
- Name
- Kemba Carter
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2018
- Last updated
- Feb 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057004156 | IL | Yes |
Practice location
6758 N Sheridan Rd Apt 542Chicago, IL 60626-4434
Phone 773-610-4256
Mailing address
6758 N Sheridan Rd Apt 542Chicago, IL 60626-4434
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