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Individual

JODIE PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
13877 RIDGEWOOD DR, HOLLAND, MI 49424-1210
(312) 768-0694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011271
MI

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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