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1417230814
LARISSA ROSE FEUCHT
WASHINGTON, IL
NPI
1417230814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057003458)
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- LARISSA ROSE FEUCHT COTA/L
128 WASHINGTON SQ
WASHINGTON, IL 61571-2657
Phone number: 800-773-1682
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Mailing Address
-- LARISSA ROSE FEUCHT COTA/L
128 WASHINGTON SQ
WASHINGTON, IL 61571-2657
Phone number: 800-773-1682
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