SHANA B BERTELS

SHIPMAN, IL
NPI1700143898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002709)
Enumeration Date2012-04-13
Last Update Date2012-04-13
Business Address
-- SHANA B BERTELS COTA
10354 PRAIRIE DELL RD
SHIPMAN, IL 62685-6105
Phone number: 618-836-7442
Mailing Address
-- SHANA B BERTELS COTA
10354 PRAIRIE DELL RD
SHIPMAN, IL 62685-6105
Phone number: 618-836-7442