Individual
ASHTON PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
680 W PERU ST, PRINCETON, IL 61356-6803
(815) 343-0572
Mailing address
424 S RANDOLPH ST, PRINCETON, IL 61356-1961
(815) 915-5038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005421
IL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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