Individual
STEVEN PETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CENTENNIAL DR, EAST PEORIA, IL 61611-4912
(309) 694-9865
Mailing address
3108 N SHERIDAN RD, PEORIA, IL 61604-1425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001338
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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