Individual
MRS. ALICIA ELAINE CORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED., OTR/L
Contact information
Practice address
1800 E. LAKE SHORE DRIVE, DECATUR, IL 62521
(217) 464-2981
Mailing address
6205 E FITZGERALD RD, DECATUR, IL 62521-9564
(606) 383-2921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009702
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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