EMILY FAXON

SPRINGFIELD, IL
NPI1932784501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005548)
Enumeration Date2021-03-15
Last Update Date2021-03-15
Business Address
EMILY FAXON COTA
2508 SAINT JAMES RD
SPRINGFIELD, IL 62707-9736
Phone number: 217-747-5901
Mailing Address
EMILY FAXON COTA
2405 SHABBONA DR
SPRINGFIELD, IL 62702-1360
Phone number: 217-206-5713
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