GABRIELLE CELESTE CROUSE

CHAMPAIGN, IL
NPI1700364841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004992)
Enumeration Date2018-07-31
Last Update Date2018-07-31
Business Address
GABRIELLE CELESTE CROUSE COTA
811 VENTURA RD
CHAMPAIGN, IL 61820-7039
Phone number: 217-377-5803
Mailing Address
GABRIELLE CELESTE CROUSE COTA
811 VENTURA RD
CHAMPAIGN, IL 61820-7039
Phone number: 217-377-5803
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