Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kris Bernardin III

Individual provider Occupational Therapy Assistant · NPI 1396992723

Kris Bernardin III is an Occupational Therapy Assistant in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

1790 S Fairview Ave
Decatur, IL 62521-4010
Phone: (217) 429-2551
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.002923 (IL)

Record details

NPI number1396992723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address1790 S Fairview Ave, Decatur, IL 62521-4010

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