Individual
CELEESTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
901 N MAIN ST, NORMAL, IL 61761-1559
(309) 888-5380
Mailing address
1607 MYRA LN, BLOOMINGTON, IL 61704-8697
(130) 980-8863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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