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Individual

JESSE ELLEN KOLB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
700 N MAIN ST, EUREKA, IL 61530-1085
(309) 467-2337
Mailing address
1009 WALNUT ST, WASHINGTON, IL 61571-2808
(309) 648-6858

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004581
IL

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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