Most Relevant Information
Provider Data
| NPI Number: | 1003288739 |
| Provider Name: | KRISTIN KOERNER |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056.011236 |
Most Important Dates
| Enumeration Date: | 10/21/2015 |
| Last Updated: | 01/27/2023 |
Provider Practice Location
504 BENT TREE DR
EFFINGHAM
IL
624013100
Practice Location Phone/Fax
| Phone: | 2176637543 |
| Fax: |
Provider Mailing Location
504 BENT TREE DR
EFFINGHAM
IL
624013100
Provider Mailing Phone/Fax
| Phone: | 2176637543 |
| Fax: |