Individual
JENNIFER OETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7547
Mailing address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002565
IL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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