Individual
MRS. BETH ANN WOODCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1010 E OAK ST, TAYLORVILLE, IL 62568-1637
(217) 823-0014
Mailing address
1010 E OAK ST, TAYLORVILLE, IL 62568-1637
(217) 823-0014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002926
IL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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