Individual
MR. STEVE PERSCHBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1405 N 2ND ST, SWANSEA, IL 62226-4213
(618) 233-6625
Mailing address
3704 CARLYLE AVE, BELLEVILLE, IL 62221-7407
(618) 623-8087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001988
IL
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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