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Individual

VICTORIA CLAIRE RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1200 E GRANT ST, MACOMB, IL 61455-3428
(309) 833-2123
Mailing address
13 MINER LN, MACOMB, IL 61455-3444
(309) 252-1179

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003263
IL

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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