Individual
NANCY JEAN YEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
404 W HEALEY ST, CHAMPAIGN, IL 61820-5021
(217) 359-4073
Mailing address
404 W HEALEY ST, CHAMPAIGN, IL 61820-5021
(217) 359-4073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.001375
IL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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