Search › Illinois › Pediatric Occupational Therapist
Kim Fonner
NPI 1174748354 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3395 W Lake Paradise Rd
Mattoon, IL 61938 - Phone
- (217) 234-2327
Registry record
- Primary taxonomy
- Pediatric Occupational Therapist
225XP0200X
- Also registered as
- Physical Therapy Assistant
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois