Individual
LATOYA S MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 N ROCHELLE LN, PEORIA, IL 61604-1094
(309) 688-4412
Mailing address
3611 N ROCHELLE LN, PEORIA, IL 61604-1094
(309) 688-4412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004731
IL
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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