Individual
JILL BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 HALE AVE, EDWARDSVILLE, IL 62025-2334
(217) 246-7431
Mailing address
206 HALE AVE, EDWARDSVILLE, IL 62025-2334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2018
Last updated
02/25/2018
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