Individual
JULIE ANN DEBACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-9600
(309) 344-9675
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-9600
(309) 344-9675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0056-000906
IL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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