Individual
CAMERON SCOTT CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 W MAIN ST, BENTON, IL 62812-1565
(618) 439-3399
Mailing address
1029 S HOBSON ST, HARRISBURG, IL 62946-2903
(618) 841-0408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013817
IL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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