John Charles Rakestraw CCC-CLP/L

NPI 1346498557 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1346498557
Gender Male
Enumeration Date 08/29/2008
Last Updated 08/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1204 N 1ST ST
GAYS IL, 61928-9784, US
Phone (217) 254-6895
Fax
Business Location
1204 N 1ST ST
GAYS IL, 61928-9784, US
Phone (217) 254-6895
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146004265
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According to our database, Mr. John Charles Rakestraw CCC-CLP/L NPI is 1346498557, taxonomy code is 235Z00000X and license number is 146004265, license state is located at Illinois. John Charles Rakestraw CCC-CLP/L physically located at 1204 N 1st St, Gays IL, 61928-9784. NPI Number John Charles Rakestraw CCC-CLP/L has the Individual type.

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1346498557 NPI number is provided on an as is basis without warranty of any kind. 1346498557 is maintained by the National Plan & Provider Enumeration System. The contents of John Charles Rakestraw CCC-CLP/L are for informational purposes only.