Individual
BROCK C LOESCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 W HIGHWAY 50, O FALLON, IL 62269-1828
(618) 276-0370
Mailing address
5444 OAK THORN DR, FREEBURG, IL 62243-2735
(618) 520-2223
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
88276
IL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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