Individual
CHRISTINA ANN EAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2136 VADALABENE DR, SUITE D, MARYVILLE, IL 62062-5632
(618) 288-4677
(618) 288-4699
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006794
IL
Other
Enumeration date
07/08/2006
Last updated
12/11/2007
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