BETHANY DANIELLE RANDALL

JACKSONVILLE, IL
NPI1114651452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005812)
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
BETHANY DANIELLE RANDALL COTA
873 GROVE ST
JACKSONVILLE, IL 62650-2828
Phone number: 217-479-3400
Mailing Address
BETHANY DANIELLE RANDALL COTA
1076 NE 475 AVE
WHITE HALL, IL 62092-4024
Phone number: 618-946-9219
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