Madena Whitesell, COTA

NPI #1700107406 in Minonk, Illinois

Provider Information

NPI Number
1700107406
Entity Type
Individual
Name
Madena Whitesell, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jun 16, 2010
Last Updated
Jun 16, 2010

Practice Location

Address
201 LOCUST ST
City
Minonk
ZIP Code
61760-1511
Phone
(309) 432-2557

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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