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Individual

JENNIFER DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011452
IL

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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