Individual
BRENDA RAE QUESTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1320 W 9TH ST, MOUNT CARMEL, IL 62863-2905
(618) 263-4337
Mailing address
1320 W 9TH ST, MOUNT CARMEL, IL 62863-2905
(618) 263-4337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057-002212
IL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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