Individual
JESSICA M JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTD, OTR/L
Contact information
Practice address
2506 N CLARK ST, SUITE 158, CHICAGO, IL 60614-1848
(312) 278-0022
Mailing address
2506 N CLARK ST, SUITE 158, CHICAGO, IL 60614-1848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008863
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056008863
IL
Other
Enumeration date
03/25/2013
Last updated
03/26/2013
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