Individual
JENNIFER MARCHBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
578 COMMERCIAL ST, MARSEILLES, IL 61341-1814
(815) 795-5121
Mailing address
PO BOX 504469, SAINT LOUIS, MO 63150-4469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006591
IL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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