Individual
MRS. JENIFER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
330 S ILLINOIS AVE, VILLA PARK, IL 60181-2922
(630) 832-9510
Mailing address
330 S ILLINOIS AVE, VILLA PARK, IL 60181-2922
(630) 832-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004913
IL
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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