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1912340621
MELISSA J. PHANEUF
GLENVIEW, IL
NPI
1912340621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 5316-26)
Enumeration Date
2013-04-11
Last Update Date
2013-08-22
Business Address
-- MELISSA J. PHANEUF OTR/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
-- MELISSA J. PHANEUF OTR/L
1483 COUNTY ROAD A
WEST BEND, WI 53090-8222
Phone number: 262-692-6530
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