Individual
SUSAN REEVERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5668 STRATHMOOR DR, ROCKFORD, IL 61107-5110
(815) 229-5200
(815) 397-1124
Mailing address
5668 STRATHMOOR DR, ROCKFORD, IL 61107-5110
(815) 229-5200
(815) 397-1124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002733
IL
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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