DAVID LANIER

PEORIA, IL
NPI1801997499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056-001035)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- DAVID LANIER O.T.
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-8575
Mailing Address
-- DAVID LANIER O.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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