Individual
PHILIP R JOSTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702-3719
(217) 528-7541
(217) 203-9013
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009885
IL
Other
Enumeration date
08/10/2012
Last updated
05/22/2020
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