LIBBY CHANEL CAMPBELL

SPRINGFIELD, IL
NPI1518624055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057005444)
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
Mrs. LIBBY CHANEL CAMPBELL COTA
4101 W ILES AVE
SPRINGFIELD, IL 62711-7051
Phone number: 217-793-9429
Mailing Address
Mrs. LIBBY CHANEL CAMPBELL COTA
4101 W ILES AVE
SPRINGFIELD, IL 62711-7051
Phone number: 217-823-4099