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Individual

JENNA FEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
50 N JANE DR, ELGIN, IL 60123-5118
(847) 760-6639
(847) 760-6640
Mailing address
50 N JANE DR, ELGIN, IL 60123-5118
(847) 760-6639
(847) 760-6640

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008599
IL

Other

Enumeration date
02/12/2009
Last updated
08/30/2012
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