JASON MICHAEL THAVENET

LIBERTYVILLE, IL
NPI1649539115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.008146)
Enumeration Date2012-05-03
Last Update Date2023-08-01
Business Address
Mr. JASON MICHAEL THAVENET MOT,OTR/L,CHT
825 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048-3218
Phone number: 847-990-5350
Mailing Address
Mr. JASON MICHAEL THAVENET MOT,OTR/L,CHT
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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