STACEY BRYANT

EDWARDSVILLE, IL
NPI1083298806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing
(Licence: IL  057-002567)
Enumeration Date2021-05-07
Last Update Date2021-05-07
Business Address
STACEY BRYANT COTA
530 OAK HILL DR
EDWARDSVILLE, IL 62025-2024
Phone number: 618-670-3552
Mailing Address
STACEY BRYANT COTA
530 OAK HILL DR
EDWARDSVILLE, IL 62025-2024
Phone number: 618-670-3552
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