TRACY MARIE DANIELS

DECATUR, IL
NPI1013164029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002225)
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
Miss TRACY MARIE DANIELS Cota/L
1790 S FAIRVIEW AVE
DECATUR, IL 62521-4010
Phone number: 217-429-2551
Mailing Address
Miss TRACY MARIE DANIELS Cota/L
101 E MOULTRIE ST
BEMENT, IL 61813-1542
Phone number: 217-299-7493
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