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Individual

MRS. AMY DIANE LUEBCHOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 E PELLS ST, PAXTON, IL 60957-1300
(217) 379-4361
Mailing address
104 S 6TH ST, BUCKLEY, IL 60918-7006

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
057.000691
IL

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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