CRYSTAL D GORDON

BEECHER CITY, IL
NPI1982851895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002673)
Enumeration Date2008-08-21
Last Update Date2008-08-21
Business Address
-- CRYSTAL D GORDON COTA/L
RR 2 BOX 211B
BEECHER CITY, IL 62414-9208
Phone number: 217-783-2335
Mailing Address
-- CRYSTAL D GORDON COTA/L
RR 2 BOX 211B
BEECHER CITY, IL 62414-9208
Phone number: 217-783-2335
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