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Individual
VAN HUFFINE I
Active
Individual
VAN HUFFINE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056006795
IL
225X00000X
Occupational Therapist
Primary
31003369A
IN
Other
Enumeration date
07/26/2006
Last updated
11/05/2021
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