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1073098323
STEFANIE JANE MOORE
NORTH RIVERSIDE, IL
NPI
1073098323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056012660)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
STEFANIE JANE MOORE OTR
2800 DESPLAINES AVE
NORTH RIVERSIDE, IL 60546-1851
Phone number: 708-447-5092
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Mailing Address
STEFANIE JANE MOORE OTR
1919 S STATE ST UNIT 4
CHICAGO, IL 60616-2188
Phone number: 708-578-9489
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