Individual
SETH TYLER POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 BROOKVIEW DR, FARMER CITY, FRAMER CITY, IL 61842
(309) 928-2118
Mailing address
1713 SANDRA ST, CHAMPAIGN, IL 61821-1408
(217) 390-4706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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