JAMIE NICOLE BEATTY

EDWARDSVILLE, IL
NPI1063008597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.003292)
Enumeration Date2020-12-18
Last Update Date2020-12-18
Business Address
JAMIE NICOLE BEATTY COTA
6277 CENTER GROVE RD
EDWARDSVILLE, IL 62025-3309
Phone number: 618-659-0605
Mailing Address
JAMIE NICOLE BEATTY COTA
6277 CENTER GROVE RD
EDWARDSVILLE, IL 62025-3309
Phone number: 618-659-0605