Randi Jo Juenger
Occupational Therapist - Gerontology
6901 N Galena Rd
Peoria
, Illinois 61614-3193
Randi Jo Juenger
Occupational Therapist - Gerontology
6901 N Galena Rd
Peoria
, Illinois 61614-3193
(309) 224-5052
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Randi Jo Juenger
- 128 Jay St
- East Peoria, IL
- Zip : 61611-1801
- Phone : (309) 224-5052
Second Address
- Randi Jo Juenger
- 6901 N Galena Rd
- Peoria, IL
- Zip : 61614-3193
- Phone : (309) 224-5052
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 057.003577 | IL |
National Provider Identifier
| NPI | 1245991389 |
|---|---|
| Provider Name | Randi Jo Juenger |
| First Address | East Peoria, IL 61611-1801 |
| Second Address | Peoria, IL 61614-3193 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2021 |
| Last Update Date | 30/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.