Individual
JENNIFER HOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W FRONTAGE RD, SUITE 2415, NORTHFIELD, IL 60093-1202
(877) 787-3422
Mailing address
118 S SANGAMON ST, AUBURN, IL 62615-9358
(217) 622-3189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003519
IL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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