Individual
MARY ELIZABETH LIGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 E AMBER LN, URBANA, URBANA, IL 61802-6907
(217) 365-0299
(217) 365-0301
Mailing address
1706 E AMBER LN, URBANA, URBANA, IL 61802-6907
(217) 365-0299
(217) 365-0301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0570000697
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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