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1760605968
MICHAEL LANG BUSHBY
PEORIA, IL
NPI
1760605968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.015423)
Enumeration Date
2007-04-10
Last Update Date
2023-07-11
Business Address
MICHAEL LANG BUSHBY MOT, OTR/L
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-7755
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Mailing Address
MICHAEL LANG BUSHBY MOT, OTR/L
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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