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Individual

JESSICA SUSAN O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3825
(708) 213-0132
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 846-5738

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005819
IL

Other

Enumeration date
08/13/2009
Last updated
01/21/2021
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