Individual
MRS. CHRISTINA JEAN MITCHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
745 COUNTY ROAD 2175 N, CHAMPAIGN, IL 61822-9580
(217) 202-9468
Mailing address
745 COUNTY ROAD 2175 N, CHAMPAIGN, IL 61822-9580
(217) 202-9468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0057.000636
IL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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