DAN JAMES PETERSON

MACHESNEY PARK, IL
NPI1346480944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.005652)
Enumeration Date2009-02-23
Last Update Date2009-02-23
Business Address
-- DAN JAMES PETERSON OTR
3032 HAMLIN DR
MACHESNEY PARK, IL 61115-7637
Phone number: 815-319-3333
Mailing Address
-- DAN JAMES PETERSON OTR
3032 HAMLIN DR
MACHESNEY PARK, IL 61115-7637
Phone number: 815-319-3333
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