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Individual

JULIE ALLIS BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
809 E BOULEVARD ST, MARION, IL 62959-3307
(618) 969-0853
Mailing address
809 E. BOULEVARD.ST., MARION, IL 62959
(618) 969-0853

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002660
IL

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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