Individual
MRS. JENNIFER MICHELLE COSLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1011 N MAIN ST, PARIS, IL 61944-1145
(217) 465-5376
Mailing address
506 W GREEN ST, NEWMAN, IL 61942-9407
(217) 714-9628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003135
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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