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1346480944
DAN JAMES PETERSON
MACHESNEY PARK, IL
NPI
1346480944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.005652)
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
-- DAN JAMES PETERSON OTR
3032 HAMLIN DR
MACHESNEY PARK, IL 61115-7637
Phone number: 815-319-3333
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Mailing Address
-- DAN JAMES PETERSON OTR
3032 HAMLIN DR
MACHESNEY PARK, IL 61115-7637
Phone number: 815-319-3333
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