Jennifer Anne Forck

NPI #1477781599 in East Peoria, Illinois

Provider Information

NPI Number: 1477781599
Entity Type: Individual
Name: Jennifer Anne Forck
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 26, 2009
Last Updated: Jul 29, 2011

Practice Location

Address: 105 WOOD CT
Address 2: APT 2
City: East Peoria
State: Illinois
ZIP Code: 61611-5516
Phone: (309) 303-5548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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