Individual
JENNIFER A BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
(630) 620-1148
Mailing address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
(630) 620-1148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005403
IL
Other
Enumeration date
08/25/2006
Last updated
04/21/2011
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