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Organization
TRADITIONS REHAB, INC.
Active
Organization
TRADITIONS REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK K. COCHONOUR (CEO)
(217) 508-9911
Entity
Organization
Contact information
Practice address
10804 N HICKORY LN, CASEY, IL 62420-3510
(217) 508-9911
Mailing address
10804 N HICKORY LN, CASEY, IL 62420-3510
(217) 508-9911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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