Individual
MRS. REBECCA SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 BRIDGEPORT WAY, HANNA CITY, IL 61536-9681
(309) 565-4118
Mailing address
9801 BRIDGEPORT WAY, HANNA CITY, IL 61536-9681
(309) 565-4118
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1735740
IL
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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