Individual
CAROL JEAN ZILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4825 EVERGREEN CT, DECATUR, IL 62521-8774
(217) 864-4300
Mailing address
10113 JORDAN RD, ARGENTA, IL 62501-8115
(217) 454-4605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000390
IL
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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