Individual
MS. JENNIFER F TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
32 ETHELL PKWY, NORMAL, IL 61761-4017
(309) 454-2494
Mailing address
32 ETHELL PKWY, NORMAL, IL 61761-4017
(309) 454-2494
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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