Individual
MICHAEL SCOTT SLINKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
144 CALDWELL ST, JACKSONVILLE, IL 62650-1810
(618) 946-3663
Mailing address
144 CALDWELL ST, JACKSONVILLE, IL 62650-1810
(618) 946-3663
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004951
IL
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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