Individual
LYNN LOEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 JACKSON ST, MASCOUTAH, IL 62258-1079
(618) 593-8262
Mailing address
513 JACKSON ST, MASCOUTAH, IL 62258-1079
(618) 593-8262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007031
IL
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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