Individual
MAISA LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 INDEPENDENCE DR, DANVILLE, IL 61832-7921
(217) 431-1600
Mailing address
207 BENTON ST, ROSSVILLE, IL 60963-1002
(217) 495-1774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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