ALEXANDRA ELAINE FERGUSON

DEKALB, IL
NPI1295388254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31006884A)
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
ALEXANDRA ELAINE FERGUSON OTD, OTR
1212 S 2ND ST
DEKALB, IL 60115-4435
Phone number: 815-758-8151
Mailing Address
ALEXANDRA ELAINE FERGUSON OTD, OTR
6216 BROKENHURST RD
INDIANAPOLIS, IN 46220-4932
Phone number: