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1265966931
COLLEEN JOHNSON
JOLIET, IL
NPI
1265966931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004720)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- COLLEEN JOHNSON COTA
801 S BRIGGS ST 2ND FLOOR
JOLIET, IL 60433-9591
Phone number: 815-722-1757
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Mailing Address
-- COLLEEN JOHNSON COTA
801 S BRIGGS ST
JOLIET, IL 60433-9591
Phone number: 815-722-1757
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