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1538596341
SUSAN REEVERTS
ROCKFORD, IL
NPI
1538596341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002733)
Enumeration Date
2013-10-11
Last Update Date
2013-10-11
Business Address
-- SUSAN REEVERTS COTA
5668 STRATHMOOR DR
ROCKFORD, IL 61107-5110
Phone number: 815-229-5200
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Mailing Address
-- SUSAN REEVERTS COTA
5668 STRATHMOOR DR
ROCKFORD, IL 61107-5110
Phone number: 815-229-5200
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