Individual
REBECCA ROSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 UNIVERSITY DR, EDWARDSVILLE, IL 62025-5589
(618) 692-2273
Mailing address
403 NEVADA AVE, EAST ALTON, IL 62024-1831
(618) 975-3390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014360
IL
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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