Individual
DANIELLE MARIE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
601 N LIBERTY ST, RUSHVILLE, IL 62681-1156
(217) 248-4711
Mailing address
601 N LIBERTY ST, RUSHVILLE, IL 62681-1156
(217) 248-4711
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004862
IL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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