Individual
CADE GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E GRANT ST, MACOMB, IL 61455-3428
(309) 833-2123
Mailing address
136 HOLDEN TER, MACOMB, IL 61455-1020
(850) 643-7535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013701
IL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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