Individual
ANNAZETTE SALE ANIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E PELLS ST, PAXTON, IL 60957-1300
(217) 379-4361
Mailing address
1502 YANKEE LN, CHAMPAIGN, IL 61822-9805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010664
IL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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