Individual
MRS. ELIZABETH AMELIA MCWHIRTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5533 N GALENA RD, PEORIA HEIGHTS, IL 61616-4447
(309) 682-5428
Mailing address
2012 W DELRAY DR, PEORIA, IL 61614-3306
(309) 657-1032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004134
IL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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