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Individual

BOBBY POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(847) 637-6168
Mailing address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(847) 637-6168

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00570024
IL

Other

Enumeration date
12/09/2020
Last updated
12/09/2020
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