Individual
JILL HENRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
314 INVERNESS TRL, MCHENRY, IL 60050-5905
(815) 363-7039
Mailing address
1055 SILVER LAKE ROAD, CARY, IL 60013
(224) 357-8398
(847) 829-4487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004000
IL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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