Illingworth, Katherine
Illingworth, Katherine is an individual health care provider with primary practice located at 11230 Cornell Park Dr , Blue Ash OH 45242-1825. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Illingworth, Katherine can be contacted via phone (513) 880-6800.Contact Information
Primary practice address
11230 Cornell Park Dr
Blue Ash OH 45242-1825
Phone: (513) 880-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31004256A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT009156 | Ohio |
Profile Details
| NPI number | 1922185834 |
|---|---|
| LBN Legal business name | Illingworth, Katherine |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922185834 | NPPES |
| Indiana | MEDICAID | 200807660 | |
| Indiana | MEDICAID | 2187155 |
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