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Individual

PATRICK SKYLAR FURGASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 N NATIONAL RD, COLUMBUS, IN 47201-5501
(812) 799-1257
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006913A
IN

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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