Individual
JESSICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
121 W 154TH ST, HARVEY, IL 60426-3552
(708) 596-2200
Mailing address
14601 KENTUCKY AVE, HARVEY, IL 60426-1732
(708) 971-4446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004942
IL
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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