SUZETTE SHAFER, COTA

Occupational Therapy Assistant

Active Individual
NPI: 1104133099

Practice Address

1790 S. FAIRVIEW AVE.
Decatur, IL 62521

Phone: (217) 429-2551

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 057-003139 (IL)

Frequently Asked Questions

NPI 1104133099 is the National Provider Identifier for SUZETTE SHAFER, COTA, a Occupational Therapy Assistant provider located in Decatur, IL. This NPI was enumerated on September 13, 2010.
SUZETTE SHAFER, COTA practices at 1790 S. FAIRVIEW AVE., Decatur, IL 62521.

Quick Facts

NPI
1104133099
Type
Individual
Enumerated
Sep 13, 2010
Last Updated
Sep 13, 2010

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