Individual
REBEKAH LINNEA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 WINDSOR RD, LOVES PARK, IL 61111-4280
(815) 654-6170
Mailing address
10177 METALMARK LN, UNIT #4, ROSCOE, IL 61073-5685
(815) 978-4982
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2009
Last updated
04/12/2009
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