Individual
ANASTASIA BORMANN NETHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
1810 CHESTERFIELD RD, SPRINGFIELD, IL 62703-5207
(630) 648-9062
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014101
IL
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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