Individual
JANELLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 STONEBRIDGE TRL APT 1-4, WHEATON, IL 60189-1748
(630) 723-8093
Mailing address
1526 STONEBRIDGE TRL APT 1-4, WHEATON, IL 60189-1748
(630) 723-8093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015701
IL
Other
Enumeration date
06/08/2022
Last updated
11/01/2023
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