Individual
RANDI JO JUENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 N GALENA RD, PEORIA, IL 61614-3193
(309) 224-5052
Mailing address
128 JAY ST, EAST PEORIA, IL 61611-1801
(309) 224-5052
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
057.003577
IL
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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