Individual
JILL MARIE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1706 E AMBER LN, URBANA, IL 61802-6907
(217) 365-0299
Mailing address
1615 MULLIKIN DR, CHAMPAIGN, IL 61822-8306
(217) 356-2217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003477
IL
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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