Individual
EVANGELINE VAN OFFEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 TEMPLE LN, ROCKFORD, IL 61112-1097
(815) 332-3272
Mailing address
329 TIMBER CT, SOUTH BELOIT, IL 61080-2460
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002389
IL
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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