Individual
CALLIE JO ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8306 SAINT LUKES DR, BEARDSTOWN, IL 62618-8384
(217) 761-7831
Mailing address
2204 CORMORANT DR, SPRINGFIELD, IL 62711-6213
(217) 761-7831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005741
IL
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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