Individual
JESSICA ANN REUSNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
2829 W 100TH ST, EVERGREEN PARK, IL 60805-2643
(708) 424-6198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009422
IL
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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