KATELYN ANN RUSSELL

DANVILLE, IL
NPI1154829885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.003857)
Enumeration Date2018-01-29
Last Update Date2018-01-29
Business Address
KATELYN ANN RUSSELL COTA/L
620 WARRINGTON AVE
DANVILLE, IL 61832-5446
Phone number: 217-446-0660
Mailing Address
KATELYN ANN RUSSELL COTA/L
2251 W STONE BLUFF RD
COVINGTON, IN 47932-8103
Phone number: 217-504-2565
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