RANDALL J AMMONDSON

PEORIA, IL
NPI1437480233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.005495)
Enumeration Date2010-01-19
Last Update Date2010-01-19
Business Address
RANDALL J AMMONDSON OTR/L
4502 NW SCENIC DR
PEORIA, IL 61615-3756
Phone number: 309-682-3743
Mailing Address
RANDALL J AMMONDSON OTR/L
4502 NW SCENIC DR
PEORIA, IL 61615-3756
Phone number: 309-682-3743
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