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Individual

MS. PAMELA SUE OLIVERI-FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 673-2467
Mailing address
602 NORTH ST, HENRY, IL 61537-1226
(309) 238-3889

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
057-000751
IL

Other

Enumeration date
07/18/2014
Last updated
07/18/2014
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