Most Relevant Information
Provider Data
| NPI Number: | 1003657966 |
| Provider Name: | CELESTE VAUGHN TWOMBLY |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056.016011 |
Most Important Dates
| Enumeration Date: | 06/04/2024 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
1123 GREENLEAF AVE
WILMETTE
IL
600912708
Practice Location Phone/Fax
| Phone: | 8476109585 |
| Fax: |
Provider Mailing Location
1703 N BROOK CT
MAHOMET
IL
618533743
Provider Mailing Phone/Fax
| Phone: | 2177226160 |
| Fax: |