Individual
JEANNINE WRIGHT
Active
Individual
JEANNINE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
056-002897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056-002897
STATE OF IL LICENSE
IL
Enumeration date
11/25/2009
Last updated
12/04/2012
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