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1871521914
SOUTSADA T RIVERA
WOODSTOCK, IL
NPI
1871521914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070008735)
Enumeration Date
2006-06-29
Last Update Date
2018-05-10
Business Address
SOUTSADA T RIVERA DPT
113 S EASTWOOD DR
WOODSTOCK, IL 60098-3519
Phone number: 815-334-0400
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Mailing Address
SOUTSADA T RIVERA DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6200
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