Individual
MISS CELESTE VAUGHN TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 GREENLEAF AVE, WILMETTE, IL 60091-2708
(847) 610-9585
Mailing address
1703 N BROOK CT, MAHOMET, IL 61853-3743
(217) 722-6160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016011
IL
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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