Individual
JAYNE L DEDERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
17850 KEDZIE AVE, SUITE 2300, HAZEL CREST, IL 60429-2058
(708) 922-4995
Mailing address
10618 RIDGEWOOD DR, PALOS PARK, IL 60464-2581
(708) 923-0891
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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