Individual
MRS. CYNTHIA LYNN BLOEMKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15790 N 1000TH ST, EFFINGHAM, IL 62401-7488
(217) 868-5180
Mailing address
15790 N 1000TH ST, EFFINGHAM, IL 62401-7488
(217) 868-5180
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002062
IL
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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