Individual
ANGELA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,ED.
Contact information
Practice address
521 EDEN PARK DR, RANTOUL, IL 61866-1507
(217) 766-4016
Mailing address
521 EDEN PARK DR, RANTOUL, IL 61866-1507
(217) 766-4016
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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