Individual
MRS. JENNIFER LYNN SUGGITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
8434 CORCORAN RD, WILLOW SPRINGS, IL 60480-1666
(708) 467-0657
Mailing address
8434 CORCORAN RD, WILLOW SPRINGS, IL 60480-1666
(708) 467-0657
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
056009557
IL
225XP0200X
Pediatric Occupational Therapist
016038-1
NY
225XP0200X
Pediatric Occupational Therapist
056.009557
IL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/13/2010
Last updated
11/05/2021
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