Individual
MR. JAMES MEADOWS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1630 E CANTRELL ST, DECATUR, IL 62521-3647
(406) 250-1562
Mailing address
1630 E CANTRELL ST, DECATUR, IL 62521-3647
(406) 250-1562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1728
TN
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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