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Organization
PROFESSIONAL THERAPY SERVICES
Active
Organization
PROFESSIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY VANZUIDEN (SPEECH LANGUAGE PATHOLOGIST)
(815) 631-3298
Entity
Organization
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
(309) 691-1000
Mailing address
411 HAMILTON BLVD STE 1908, PEORIA, IL 61602-1146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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