Individual
MRS. MINDY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1505 PATTON DR, MAHOMET, IL 61853-8116
(217) 586-3749
Mailing address
1101 LINCOLNSHIRE DR, CHAMPAIGN, IL 61821-5605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002821
IL
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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