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1457520033
SUSAN MARY WISNIEWSKI
WOODSTOCK, IL
NPI
1457520033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056005533)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
-- SUSAN MARY WISNIEWSKI OTR
708 WASHINGTON ST
WOODSTOCK, IL 60098-2265
Phone number: 815-338-1707
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Mailing Address
-- SUSAN MARY WISNIEWSKI OTR
8785 SONOMA TRL
SPRING GROVE, IL 60081-8255
Phone number: 815-349-0225
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