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Individual

MRS. JENNIFER MARIE KLOCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8523 55TH ST, COAL VALLEY, IL 61240-9671
(309) 799-5722
Mailing address
8523 55TH ST, COAL VALLEY, IL 61240-9671
(309) 799-5722

Taxonomy

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

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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