Individual
JAZIB NASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4736 N RAVENSWOOD AVE APT 404, CHICAGO, IL 60640-0518
(586) 922-7460
Mailing address
4736 N RAVENSWOOD AVE APT 404, CHICAGO, IL 60640-0518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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