Individual
LAUREN NICOLE MANTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
600 S HOUSTON ST, TAYLORVILLE, IL 62568-2073
(217) 824-9636
(217) 824-8437
Mailing address
598 S OAKLANE RD, SPRINGFIELD, IL 62712-6552
(217) 652-6143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
407727
IL
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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