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Individual

JESSICA SNEED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4121 VETERANS MEMORIAL DRIVE, MT. VERNON, IL 62864
(618) 242-3778
Mailing address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S53042179916
DRIVERS LICENSE
IL
Enumeration date
09/13/2017
Last updated
07/21/2022
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