NPI 1063167757
Savanna Morgan Maue, COTAL
Practice location
- Address
- 150 N 27th St, Belleville, IL 62226-6621
- Phone
- (618) 235-6600
- Mailing address
- 1124 University Dr APT 8, Edwardsville, IL 62025-3964
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1063167757
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2022
- Record last updated
- 21 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.