Individual
CATHERINE M LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
962 40TH ST, MOLINE, IL 61265-2453
(309) 230-8722
Mailing address
962 40TH ST, MOLINE, IL 61265-2453
(309) 230-8722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1575535
IL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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