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1437907151
SOPHIA A KEITH
SPRINGFIELD, IL
NPI
1437907151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.016003)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
SOPHIA A KEITH OTR/L
4101 W ILES AVE
SPRINGFIELD, IL 62711-7051
Phone number: 217-793-9429
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Mailing Address
SOPHIA A KEITH OTR/L
313 CARRIE LN
CHATHAM, IL 62629-1511
Phone number: 618-357-0953
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