Individual
JENNY CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
605 N 12TH ST, MOUNT VERNON, IL 62864-2857
(618) 436-8640
Mailing address
PO BOX 503927, SAINT LOUIS, MO 63150-0001
(618) 436-8640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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