BRIAN H BETTORF

ALTON, IL
NPI1528699618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004017)
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
BRIAN H BETTORF Cota-l
3490 HUMBERT RD
ALTON, IL 62002-7101
Phone number: 618-465-2626
Mailing Address
BRIAN H BETTORF Cota-l
PO BOX 56
GRAFTON, IL 62037-0056
Phone number: 618-208-1435
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