NPI 1447542287

Kathryn L. Dhom, PTA

Practitioner Physical Therapy Assistant Champaign, IL

Practice location

Address: 2110 Fox Dr, Champaign, IL 61820-7553
Phone: (217) 366-1323
Fax: (217) 366-8012
Mailing address: 101 W University Ave, Champaign, IL 61820-3909

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160-005465 (IL)

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Registry record

NPI: 1447542287
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2011
Record last updated: 12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.