Individual
MISS MAGGIE ELIZABETH JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1002 N OCEOLA ST, EFFINGHAM, IL 62401-3115
(217) 663-0444
Mailing address
1002 N OCEOLA ST, EFFINGHAM, IL 62401-3115
(217) 663-0444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011576
IL
Other
Enumeration date
08/29/2016
Last updated
07/24/2023
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