Individual
REBECCA PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
(573) 240-8846
Mailing address
3209 S PARK AVE, HERRIN, IL 62948-3711
(618) 521-3820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015022883
MO
225700000X
Massage Therapist
227007383
IL
Other
Enumeration date
07/03/2014
Last updated
07/21/2022
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