Individual
MRS. CHRYSTAL MARIE MONTROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8 DOCTORS LN, MACOMB, IL 61455-3310
(309) 833-5555
Mailing address
4851 E 50TH ST, PLYMOUTH, IL 62367-2430
(309) 337-4125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002566
IL
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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