Individual
MISS AMY LOUISE FOLKERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(309) 231-9921
Mailing address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(309) 231-9921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003005
IL
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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