Individual
MRS. SADIE BELLE SIDDONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17050 N QUALITY LIME RD, MARSHALL, IL 62441-4698
(217) 686-4665
Mailing address
17050 N QUALITY LIME RD, MARSHALL, IL 62441-4698
(217) 686-4665
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056.014669
IL
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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