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1104268606
TERESE HENDRICKSON
CHAMPAIGN, IL
NPI
1104268606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.005474)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
-- TERESE HENDRICKSON
1917 WOODFIELD RD
CHAMPAIGN, IL 61822-9246
Phone number: 217-778-9897
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Mailing Address
-- TERESE HENDRICKSON
1917 WOODFIELD RD
CHAMPAIGN, IL 61822-9246
Phone number: 217-778-9897
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