Individual
JENNIFER FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
2901 FINLEY RD, SUITE 102, DOWNERS GROVE, IL 60515-1041
(630) 495-6800
(630) 495-8200
Mailing address
297 GREEN MOUNTAIN DR, BOLINGBROOK, IL 60440-2568
(630) 972-0036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002411
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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