Individual
JEAN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 COUNTY ROAD 3000 N, GIFFORD, IL 61847-9756
(217) 568-7362
Mailing address
2304 COUNTY ROAD 3000 N, GIFFORD, IL 61847-9756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006352
IL
Other
Enumeration date
10/29/2012
Last updated
06/16/2017
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