Individual
JENNIFER LYNN ZACHACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7929 W CERMAK RD UNIT C, NORTH RIVERSIDE, IL 60546-1378
(708) 442-0023
Mailing address
3939 N PIONEER AVE, CHICAGO, IL 60634-2051
(224) 383-5412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005219
IL
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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