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Search › Illinois › Occupational Therapy Assistant

Suzette Shafer, COTA

NPI 1104133099 · on the registry since 2010 · sole proprietor

Practice

Address
1790 S. Fairview Ave.
Decatur, IL 62521
Phone
(217) 429-2551
Organisation at this address
Fair Havens Senior Living Llc
Fair Havens Christian Home, Inc.
Fair Havens Christian Home, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois