Individual
SHEILA M TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E MAIN ST, ST CHARLES, IL 60174-2431
(630) 309-0240
Mailing address
1601 E MAIN ST, ST CHARLES, IL 60174-2431
(630) 309-0240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000564
IL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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