Individual
JESICA NICOLE FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
401 CHARLES ST, GILLESPIE, IL 62033-1814
(217) 271-7023
Mailing address
401 CHARLES ST, GILLESPIE, IL 62033-1814
(217) 271-7023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004714
IL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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