Individual
MS. CAMMEE CECILIA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4092 REDCASTLE PL, SWANSEA, IL 62226-7853
(618) 975-2845
(618) 332-7710
Mailing address
4092 REDCASTLE PL, SWANSEA, IL 62226-7853
(618) 975-2845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002408
IL
Other
Enumeration date
07/18/2007
Last updated
06/05/2012
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