Individual
MRS. LESLI ANN SEYFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
450 E FULTON ST, PAXTON, IL 60957-1716
(217) 379-2408
Mailing address
1207 MUIRFIELD PT, CHAMPAIGN, IL 61822-8567
(217) 721-3120
(217) 379-2472
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002480
IL
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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