JOSE RIOS BLAS

DECATUR, IL
NPI1558697029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057001368)
Enumeration Date2009-10-19
Last Update Date2009-10-19
Business Address
Mr. JOSE RIOS BLAS OTA
444 W HARRISON AVE
DECATUR, IL 62526-4157
Phone number: 217-877-7333
Mailing Address
Mr. JOSE RIOS BLAS OTA
419 E HIGH ST
MONTICELLO, IL 61856-1457
Phone number: 217-762-3397
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