Individual
ELIJAH PAUL SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016188
IL
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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