CARLA VERONICA STURDIVANT

PEORIA, IL
NPI1619142056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.001539)
Enumeration Date2008-04-27
Last Update Date2008-04-27
Business Address
Miss CARLA VERONICA STURDIVANT COTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
Mailing Address
Miss CARLA VERONICA STURDIVANT COTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: