Individual
ANGELA R SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2501 ALLENTOWN RD, PEKIN, IL 61554-9401
(309) 347-3121
Mailing address
1342 GEORGEANNA DR, PEKIN, IL 61554-2404
(309) 642-4629
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003279
IL
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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