Individual
JESSICA BETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16166 W PENNYROYAL LN, LOCKPORT, IL 60441-4132
(708) 710-7202
Mailing address
16166 W PENNYROYAL LN, LOCKPORT, IL 60441-4132
(708) 710-7202
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.014909
IL
Other
Enumeration date
02/20/2020
Last updated
06/03/2025
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