Individual
CLAY DARGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1 VETERANS DR, MANTENO, IL 60950-9466
(815) 468-6581
Mailing address
11025 W DRALLE RD, MONEE, IL 60449-9429
(815) 351-4858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014033
IL
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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