Individual
MRS. SUSAN PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 CHRISTY CT, NORMAL, IL 61761-4303
(309) 530-8070
Mailing address
1705 CHRISTY CT, NORMAL, IL 61761-4303
(309) 530-8070
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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