Individual
JULIE D MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
547 9TH AVE, LA GRANGE, IL 60525-3001
(708) 228-0549
(708) 482-4525
Mailing address
547 9TH AVE, LA GRANGE, IL 60525-3001
(708) 228-0549
(708) 482-4525
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JM31210399P
ILLINOIS EI PROVIDER
IL
Enumeration date
04/03/2007
Last updated
07/08/2007
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