Suzette Marie Shafer, COTA

NPI #1104133099 in Decatur, Illinois

Provider Information

NPI Number
1104133099
Entity Type
Individual
Name
Suzette Marie Shafer, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Sep 13, 2010
Last Updated
Sep 13, 2010

Practice Location

Address
1790 S. FAIRVIEW AVE.
ZIP Code
62521
Phone
(217) 429-2551

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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