Individual
JACLYN TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2548 W 107TH ST, CHICAGO, IL 60655-1133
(773) 253-2569
Mailing address
2548 W 107TH ST, CHICAGO, IL 60655-1133
(773) 253-2569
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056008245
IL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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