Kim Fonner
Kim Fonner is a Physical Therapy Assistant in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3395 W Lake Paradise RdMattoon, IL 61938-8969
Phone: (217) 234-2327
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Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 056008777 (IL) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 160-002514 (IL) |
Record details
| NPI number | 1174748354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2007 |
| Last updated in NPPES | August 28, 2017 |
| Mailing address | 3395 W Lake Paradise Rd, Mattoon, IL 61938-8969 |
Other providers in Mattoon
-
Jillian Christine Deters
201 Lafayette Ave E, Mattoon, IL 61938-4641 · (217) 235-5449
-
Tyler Doughty
1213 Annis Ave, Mattoon, IL 61938-6016 · (217) 246-7963
-
Julie Evilsizer, PTA
201 Lafayette Ave, Mattoon, IL 61938-4409 · (217) 235-5449
-
Joanna Faught
24 Carrollton Est, Mattoon, IL 61938-9598 · (217) 259-7353
-
Amber Goddard
201 Lafayette Ave, Mattoon, IL 61938-4409 · (217) 235-5549
-
Courtney Martin, PTA
10866 E County Road 600N, Mattoon, IL 61938-8481 · (217) 234-7128
-
Megan McClellan, PTA
201 Lafayette Ave, Mattoon, IL 61938-4409 · (217) 235-5449
-
Gabe E McKibben
2904 Walnut Ave, Mattoon, IL 61938-4942 · (217) 254-5118