Individual
JENNIFER M CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 E PAYSON ST, PONTIAC, IL 61764-2114
(618) 521-7580
Mailing address
227 E PAYSON ST, PONTIAC, IL 61764-2114
(618) 521-7580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003432
IL
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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