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Individual

JULIE A HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
208 ZACHERY DR, MOUNT VERNON, IL 62864-6712
(618) 205-5257
Mailing address
21318 N RICHVIEW LN, CENTRALIA, IL 62801-8521
(618) 335-8998

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003413
IL
224Z00000X
Occupational Therapy Assistant
057003413
IL

Other

Enumeration date
06/12/2022
Last updated
06/12/2022
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