Individual
MARIA NICOLE LUEBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1207 VANDALIA ST, COLLINSVILLE, IL 62234-4092
(618) 215-5315
Mailing address
905 MADDY, GERMANTOWN, IL 62245-2063
(618) 975-2381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012757
IL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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