Individual
CAMILLE MARY DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(262) 497-9039
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(262) 497-9039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010929
IL
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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