Individual
ROBERT ERIC JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(847) 441-5593
Mailing address
307 N PRAGUE AVE, EGG HARBOR CITY, NJ 08215-3347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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