Individual
ELIZABETH ANN SEDABRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
416 MCCLELLAND DR, TROY, IL 62294-3274
(618) 791-5294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004513
IL
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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