Individual
CHELSEA MARIE SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
34 WINDRUSH DR, JACKSONVILLE, IL 62650-1025
(217) 473-9121
Mailing address
34 WINDRUSH DR, JACKSONVILLE, IL 62650-1025
(217) 473-9121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002913
IL
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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