DANIEL STEVEN BREEDEN

BLOOMINGTON, IL
NPI1245816008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057005478)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
DANIEL STEVEN BREEDEN COTA/L
601 LUTZ RD
BLOOMINGTON, IL 61704-8608
Phone number: 309-557-8000
Mailing Address
DANIEL STEVEN BREEDEN COTA/L
203 N WEST ST
GIFFORD, IL 61847-9520
Phone number: 309-251-0403
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