Individual
MRS. JENELLE RENAE BIXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 S FRANKFORT SQUARE RD, FRANKFORT, IL 60423-9385
(815) 469-1500
(815) 220-5619
Mailing address
WESTSIDE CHILDREN'S THERAPY, 1725 S NAPERVILLE RD STE 110, WHEATON, IL 60189
(630) 509-4911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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