Individual
MONICA E. MISTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CDP, CDS
Contact information
Practice address
714 N GRANT ST, CLINTON, IL 61727-1011
(217) 671-2280
Mailing address
714 N GRANT ST, CLINTON, IL 61727-1011
(217) 671-2280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003702
IL
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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