Individual
JENNIFER MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1213 DEERFIELD PKWY APT 104, BUFFALO GROVE, IL 60089-4599
(847) 714-5706
Mailing address
16444 WILLOW DR, LEMONT, IL 60439-4646
(847) 271-1151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0560006936
IL
Other
Enumeration date
04/02/2009
Last updated
01/29/2021
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