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1710465257
STEVE PERSCHBACHER
SWANSEA, IL
NPI
1710465257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057001988)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
Mr. STEVE PERSCHBACHER COTA/L
1405 N 2ND ST
SWANSEA, IL 62226-4213
Phone number: 618-233-6625
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Mailing Address
Mr. STEVE PERSCHBACHER COTA/L
3704 CARLYLE AVE
BELLEVILLE, IL 62221-7407
Phone number: 618-623-8087
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