Mary Shattuck, COTA

NPI #1174667307 in Lincoln, Illinois

Provider Information

NPI Number
1174667307
Entity Type
Individual
Name
Mary Shattuck, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Feb 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
151 9TH ST
ZIP Code
62656-1501
Phone
(217) 735-5700

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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