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Alicia Devitt

Occupational Therapist in Mattoon, IL. Individual provider (NPI-1).

NPI number1306277884
StatusActive
Last updated in NPPESDec 9, 2013

Details

NPI
1306277884
Entity type
Individual (NPI-1)
Name
Alicia Devitt
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2013
Last updated
Dec 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056-006656ILYes
225X00000X Occupational Therapist583-26WI

Practice location

3516 W Powell Ln
Mattoon, IL 61938-2266

Phone 217-234-6402

Mailing address

3516 W Powell Ln
Mattoon, IL 61938-2266

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Other Occupational Therapist providers in Mattoon, IL

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