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Individual

MS. JULIE A CHANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 734-4588
Mailing address
7510 FARMINGDALE DR APT 302, DARIEN, IL 60561-4738
(630) 546-5500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007005
IL

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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