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1881330322
MADISON BETH WELLS
EDWARDSVILLE, IL
NPI
1881330322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 470667)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
Mrs. MADISON BETH WELLS COTA/L
1111 UNIVERSITY DR
EDWARDSVILLE, IL 62025-5589
Phone number: 618-692-2273
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Mailing Address
Mrs. MADISON BETH WELLS COTA/L
76 E ELM ST
ALTON, IL 62002-4426
Phone number: 618-781-3236
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