Individual
MR. MARK D LEVERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
101 PRAIRIE MILLS RD, GOLDEN, IL 62339-1016
(217) 696-4421
Mailing address
7411 112TH ST, BLUE GRASS, IA 52726-9121
(563) 343-4735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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