LARISSA ROSE FEUCHT

WASHINGTON, IL
NPI1417230814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003458)
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
-- LARISSA ROSE FEUCHT COTA/L
128 WASHINGTON SQ
WASHINGTON, IL 61571-2657
Phone number: 800-773-1682
Mailing Address
-- LARISSA ROSE FEUCHT COTA/L
128 WASHINGTON SQ
WASHINGTON, IL 61571-2657
Phone number: 800-773-1682