Individual
JAMIE SELFRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(888) 352-7874
Mailing address
515 W 38TH ST, CHICAGO, IL 60609-1742
(815) 546-8902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011605
IL
225X00000X
Occupational Therapist
Primary
15667
CA
Other
Enumeration date
12/04/2015
Last updated
03/11/2026
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