Individual
MRS. MICHELLE LYNN DEHAAI FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1790 S FAIRVIEW AVE, DECATUR, IL 62521-4010
(217) 429-2551
Mailing address
1797 MARY LN, MONTICELLO, IL 61856-8417
(217) 762-8043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002985
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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