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
Fax:
Website:

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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922185834 NPPES
Indiana MEDICAID 200807660
Indiana MEDICAID 2187155

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