Individual
DIXIE DEVRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2532 REYNOLDS MANOR, OTTAWA, IL 61350
(815) 228-3086
Mailing address
2532 REYNOLDS MANOR DRIVE, OTTAWA, IL 61350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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