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1245458918
ANDREW E GOTTHEARDT
KENOSHA, WI
NPI
1245458918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 4342-26)
Enumeration Date
2007-04-20
Last Update Date
2024-09-20
Business Address
ANDREW E GOTTHEARDT OTR/L, CHT
10320 75TH ST STE D
KENOSHA, WI 53142-7525
Phone number: 800-974-4378
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Mailing Address
ANDREW E GOTTHEARDT OTR/L, CHT
24014 W RENWICK RD UNIT 206
PLAINFIELD, IL 60544-8711
Phone number: 009-744-3788
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