Individual
LISA MARIE LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5591
Mailing address
810 E.4TH STREET, STERLING, IL 61081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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