Individual
CAMILLE MARGUERITE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4102 BELMONT POINT, CHAMPAIGN, IL 61822
(217) 366-0033
(217) 366-0012
Mailing address
1203 EDGERVIEW DR, MAHOMET, IL 61853-8998
(217) 586-2997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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