ETHAN BOREN

QUINCY, IL
NPI1528517166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056011119)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
-- ETHAN BOREN MOT, OTR, L
1005 BROADWAY ST
QUINCY, IL 62301-2834
Phone number: 217-223-8400
Mailing Address
-- ETHAN BOREN MOT, OTR, L
1005 BROADWAY ST
QUINCY, IL 62301-2834
Phone number: 217-223-8400