Individual
DANIELLE LORRAINE JURGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
209 SIBLEY DR, MINOOKA, IL 60447-9327
(815) 474-4362
Mailing address
209 SIBLEY DR, MINOOKA, IL 60447-9327
(815) 474-4362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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