Individual
JESSICA DOREEN PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1450 CASTLE MANOR DR, LINCOLN, IL 62656-6006
(217) 735-1507
Mailing address
545A 10TH ST, LINCOLN, IL 62656-1910
(217) 871-3063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005135
IL
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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