Individual
MISS SAVANNA MORGAN MAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
150 N 27TH ST, BELLEVILLE, IL 62226-6621
(618) 235-6600
Mailing address
1124 UNIVERSITY DR APT 8, EDWARDSVILLE, IL 62025-3964
(618) 978-6205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005731
IL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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