Individual
CYNTHIA L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L , M.ED
Contact information
Practice address
1000 VAN BUREN ST, MAYWOOD, IL 60153-1970
(708) 234-8883
Mailing address
14 N PEORIA ST APT 4H, CHICAGO, IL 60607-2648
(312) 733-0511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.000829
IL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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