Individual
JESSICA CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 383-3077
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012165
IL
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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