Individual
MARY SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
151 9TH ST, LINCOLN, IL 62656-1501
(217) 735-5700
Mailing address
151 9TH ST, LINCOLN, IL 62656-1501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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