Jessica Jacknow

NPI #1013460781 in Forest Park, Illinois

Provider Information

NPI Number: 1013460781
Entity Type: Individual
Name: Jessica Jacknow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 29, 2016
Last Updated: Jul 29, 2016

Practice Location

Address: 140 LATHROP AVE
City: Forest Park
State: Illinois
ZIP Code: 60130-1067
Phone: (773) 209-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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Organizations

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Avante Therapy Services	Physical Therapy Assistant	Forest Park	AI Deep Dive

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