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1023135647
AMANDA TERSTRIEP
O FALLON, IL
NPI
1023135647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056008002)
Enumeration Date
2007-03-26
Last Update Date
2012-05-23
Business Address
-- AMANDA TERSTRIEP OT
634 N MAIN ST SUITE 5
O FALLON, IL 62269-3746
Phone number: 618-690-0068
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Mailing Address
-- AMANDA TERSTRIEP OT
409 GRAND AVE
WATERLOO, IL 62298-1110
Phone number: 217-316-2419
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