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1124377635
SARA PROBASCO VIVODA
CHICAGO, IL
NPI
1124377635
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Former Name
SARA KAITLYN PROBASCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.009836)
Enumeration Date
2012-08-30
Last Update Date
2023-09-01
Business Address
SARA PROBASCO VIVODA MOT, OTR/L
1757 N KIMBALL AVE STE 205A
CHICAGO, IL 60647-4805
Phone number: 816-914-0359
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Mailing Address
SARA PROBASCO VIVODA MOT, OTR/L
1757 N KIMBALL AVE STE 205A
CHICAGO, IL 60647-4805
Phone number: 816-914-0359
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