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Individual

JOY L FERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2035 W ILES AVE, SPRINGFIELD, IL 62704-4192
(888) 308-3728
Mailing address
2604 PARSLEY LN, SPRINGFIELD, IL 62711-7015
(217) 725-5020

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
005154
IL
224Z00000X
Occupational Therapy Assistant
Primary
057.005154
IL

Other

Enumeration date
06/26/2019
Last updated
06/26/2019
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