Individual
JENNIFER LYNN BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Mailing address
2666 N HALSTED ST # 301, CHICAGO, IL 60614-2302
(740) 819-9080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.013062
IL
225X00000X
Occupational Therapist
Primary
5247
SC
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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