Individual
AMARI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
554 E 51ST ST APT 3, CHICAGO, IL 60615-4889
(773) 269-7908
Mailing address
554 E 51ST ST APT 3, CHICAGO, IL 60615-4889
(773) 269-7908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005231
IL
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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