Individual
TREVOR THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
505 COLLEGE AVE, OTTAWA, IL 61350-3858
(815) 434-1130
Mailing address
505 COLLEGE AVE, OTTAWA, IL 61350-3858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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