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Individual

RYLEIGH SUE SHOEMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
605 N 4TH ST, FAIRBURY, IL 61739-1210
(815) 692-2572
Mailing address
887 N 800E RD, GIBSON CITY, IL 60936-7038
(217) 379-1290

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.005665
IL
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
11/01/2021
Last updated
11/02/2021
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