Individual
DIANE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2112 W GALENA BLVD STE 8-316, AURORA, IL 60506-3255
(630) 661-7253
Mailing address
7426 ASHTON VILLA, ROCKFORD, IL 61107-2719
(815) 501-2537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014731
IL
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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