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1215411731
TAYLOR BECKER
WATERLOO, IL
NPI
1215411731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004701)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
Mrs. TAYLOR BECKER COTA/L
5370 KK RD
WATERLOO, IL 62298-3418
Phone number: 618-340-6625
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Mailing Address
Mrs. TAYLOR BECKER COTA/L
5370 KK RD
WATERLOO, IL 62298-3418
Phone number:
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