SUZETTE MARIE SHAFER

DECATUR, IL
NPI1104133099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057-003139)
Enumeration Date2010-09-13
Last Update Date2010-09-13
Business Address
-- SUZETTE MARIE SHAFER COTA
1790 S. FAIRVIEW AVE.
DECATUR, IL 62521
Phone number: 217-429-2551
Mailing Address
-- SUZETTE MARIE SHAFER COTA
142 N KENWOOD ST
ARGENTA, IL 62501-8195
Phone number: 217-841-1880
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