Individual
JESSICA ANN LORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W HIGHWAY 50 STE 150, O FALLON, IL 62269-1828
(618) 726-0370
Mailing address
1136 EAGLE LN, GRAFTON, IL 62037-1289
(618) 535-0469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015941
IL
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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