SHAYVEUNTE SHAORA PARKS

BELLEVILLE, IL
NPI1740054923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005827)
Enumeration Date2023-11-08
Last Update Date2023-11-08
Business Address
SHAYVEUNTE SHAORA PARKS COTA
150 N 27TH ST
BELLEVILLE, IL 62226-6621
Phone number: 618-235-6600
Mailing Address
SHAYVEUNTE SHAORA PARKS COTA
739 PARK DR
ALTON, IL 62002-2716
Phone number: 618-969-1262
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