Individual
JESSICA GRACE TATSUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 W WILSON AVE, CHICAGO, IL 60640-5255
(773) 782-2773
Mailing address
4026 DOBSON ST, SKOKIE, IL 60076-3721
(312) 208-0935
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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