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1649329103
BROOKE SHEREE BACKSEN
ST CHARLES, IL
NPI
1649329103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: IL 056.007942)
Enumeration Date
2007-01-10
Last Update Date
2013-06-04
Business Address
MISS BROOKE SHEREE BACKSEN MOT, OTR/L, RYT
111 E MAIN ST
ST CHARLES, IL 60174-1948
Phone number: 312-841-0993
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Mailing Address
MISS BROOKE SHEREE BACKSEN MOT, OTR/L, RYT
1921 W WILSON ST
BATAVIA, IL 60510-3194
Phone number: 312-841-0993
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