Individual
JHANEIL AFFLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
5401 WILLIAM GRANT WAY APT 103, TAMPA, FL 33610-4185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18409
FL
225X00000X
Occupational Therapist
18409
FL
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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