Individual
BERNITA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 NASSAU PKWY, ROCKFORD, IL 61107-3867
(414) 630-5516
Mailing address
906 NASSAU PKWY, ROCKFORD, IL 61107-3867
(141) 463-0551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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