ISABELLA RUBY SMITH

CHAMPAIGN, IL
NPI1447803507
Former NameISABELLA RUBY MILHAUSER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057004851)
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
ISABELLA RUBY SMITH COTA/L
4112 FIELDSTONE RD SUITE B
CHAMPAIGN, IL 61822
Phone number: 888-308-3728
Mailing Address
ISABELLA RUBY SMITH COTA/L
503 GIANT CITY RD
MONTICELLO, IL 61856-8189
Phone number: 217-454-0612