AMBER FLAVIN

ROCKFORD, IL
NPI1407284805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003428)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WI  488727)
Enumeration Date2013-10-22
Last Update Date2013-10-22
Business Address
-- AMBER FLAVIN COTA
550 S MULFORD RD
ROCKFORD, IL 61108-2511
Phone number: 815-399-4989
Mailing Address
-- AMBER FLAVIN COTA
550 S MULFORD RD
ROCKFORD, IL 61108-2511
Phone number: 815-399-4989