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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JAMIE J FIFAREK, DPT

Active Sole Proprietor

MRS. JAMIE J FIFAREK, DPT is a Pediatric Occupational Therapy healthcare provider located in BLOOMINGTON, Illinois. NPI 1972734861 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · BLOOMINGTON, IL

Registration Details

NPI Number
1972734861
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2009 (17.078637047541 yrs)
Last Updated
Jul 27, 2009
License
070017206 (IL)
Sole Proprietor
Yes

Practice Information

Address
2404 E EMPIRE ST
BLOOMINGTON, IL, 617043630
Browse IL providers · Browse ZIP 61704
Phone
3096638275
Fax
3096627872
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.