ALLISON JUNE WINGATE

NORMAL, IL
NPI1962928838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004771)
Enumeration Date2017-08-22
Last Update Date2017-08-22
Business Address
ALLISON JUNE WINGATE COTA/L
1503 DUBLIN DR
NORMAL, IL 61761-5430
Phone number: 309-846-8281
Mailing Address
ALLISON JUNE WINGATE COTA/L
1503 DUBLIN DR
NORMAL, IL 61761-5430
Phone number: 309-846-8281