Individual
CORI WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5436
(618) 465-0130
Mailing address
1029 ANDRA DR, MARYVILLE, IL 62062-5754
(618) 973-1509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012638
IL
Other
Enumeration date
10/03/2018
Last updated
12/10/2020
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