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1740379924
ROSE HEREDIA
SKOKIE, IL
NPI
1740379924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-007486)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- ROSE HEREDIA MS, OTR/L
5225 OLD ORCHARD RD STE 18
SKOKIE, IL 60077-1027
Phone number: 847-663-1020
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Mailing Address
-- ROSE HEREDIA MS, OTR/L
9332 TRIPP AVE
SKOKIE, IL 60076-1457
Phone number: 847-673-5421
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