Individual
MRS. JESSICA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
9445 CALUMET AVE, MUNSTER, IN 46321-2811
(219) 217-4519
Mailing address
1619 FIELDSTONE DR N, SHOREWOOD, IL 60404-8113
(630) 335-0069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.013913
IL
225X00000X
Occupational Therapist
Primary
31008094A
IN
Other
Enumeration date
11/03/2020
Last updated
08/30/2023
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