Patricia K Vantrease, COTA

NPI #1265758643 in Zeigler, Illinois

Provider Information

NPI Number
1265758643
Entity Type
Individual
Name
Patricia K Vantrease, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Credential
COTA
Enumeration Date
Apr 11, 2010
Last Updated
Apr 11, 2010

Practice Location

Address
206 S PINE ST
ZIP Code
62999-1248
Phone
(618) 218-1832

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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