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Michael J Kramer, OTA

Occupational Therapy Assistant in Freeport, IL. Individual provider (NPI-1).

NPI number1861663189
StatusActive
Last updated in NPPESMar 14, 2008

Details

NPI
1861663189
Entity type
Individual (NPI-1)
Name
Michael J Kramer
Credential
OTA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2008
Last updated
Mar 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057002695ILYes

Practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Phone 815-599-6000

Mailing address

1001 S Park Blvd
Freeport, IL 61032-4656

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