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1992266894
RICHARD JOHN BRENZA
NEW LENOX, IL
NPI
1992266894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.012918)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
RICHARD JOHN BRENZA OTR/L
1361 E LINCOLN HWY
NEW LENOX, IL 60451-2153
Phone number: 815-463-0719
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Mailing Address
RICHARD JOHN BRENZA OTR/L
23762 SPRINGS CT UNIT 108
PLAINFIELD, IL 60585-2280
Phone number:
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