Individual
JENNIFER ASHLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E LAKE ST, GENESIS REHAB SERVICES, BLOOMINGDALE, IL 60108-1104
(847) 278-1942
Mailing address
291 S HICKORY AVE, BARTLETT, IL 60103-4416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009940
IL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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