Individual
MR. BRETT CASTEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, AAS, COTA/L
Contact information
Practice address
102 E STATE ST, HARRISBURG, IL 62946-2720
(618) 841-5994
Mailing address
102 E STATE ST, HARRISBURG, IL 62946-2720
(618) 841-5994
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057003878
ILLINOIS LICENSURE
IL
Enumeration date
03/26/2015
Last updated
03/26/2015
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