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Contact Information

JENNIFER NELSON, O.T.R./L
1641 W. GENEVA RD
PEORIA, IL61615
 Phone: 309-231-0461
 Fax: 309-691-9457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER NELSON · (Female)

NPI Number 1659466290
Status Active
Credentials O.T.R./L
Entity Individual
Enumeration date 10/03/2006
Last updated 07/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 056-004623
  • IL License # 056004623
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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