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1871889477
LISA RENEE RICH
SPRINGFIELD, IL
NPI
1871889477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057-001818)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
MRS. LISA RENEE RICH COTA/L
2616 E LAWRENCE AVE
SPRINGFIELD, IL 62703-2023
Phone number: 217-220-2542
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Mailing Address
MRS. LISA RENEE RICH COTA/L
2616 E. LAWRENCE AVENUE
SPRINGFIELD, IL 62703-2023
Phone number: 217-220-2542
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