DEXTER CERVANTES

PEORIA, IL
NPI1053554410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056008282)
Enumeration Date2009-04-15
Last Update Date2011-05-31
Business Address
-- DEXTER CERVANTES O.T.
221 NE GLEN OAK AVE
PEORIA, IL 61636-0002
Phone number: 309-672-5522
Mailing Address
-- DEXTER CERVANTES O.T.
1920 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215-5858
Phone number: 205-520-9600
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