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Individual

JODY VEALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
136 S DIPPER LN, DECATUR, IL 62522-1841
(217) 428-7767
Mailing address
PO BOX 504469, SAINT LOUIS, MO 63150-4469

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006228
IL

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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