Individual
MELISSA BEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1120 N TOPPER DR, MOUNT PULASKI, IL 62548-1401
(217) 792-3218
Mailing address
3016 RED OAK LN, SPRINGFIELD, IL 62712-8389
(217) 414-2726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004664
IL
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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