Individual
MS. KATHERINE A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2934 CENTRAL ST, STE C2, EVANSTON, IL 60201-5201
(847) 530-3507
Mailing address
2906 CENTRAL ST # 294, EVANSTON, IL 60201-1283
(847) 530-3507
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.003215
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
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Other
Enumeration date
02/26/2010
Last updated
05/22/2025
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