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Individual

JESSICA E VICKERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
2901 FINLEY RD, SUITE 102, DOWNERS GROVE, IL 60515-1041
(630) 495-6800
(630) 495-8200
Mailing address
33 N SPRING AVE FRNT, LA GRANGE, IL 60525-5984
(630) 750-2209

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009207
IL

Other

Enumeration date
11/18/2010
Last updated
11/18/2010
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