Ryan Jackson, COTA/L

NPI #1164989257 in Itasca, Illinois

Provider Information

NPI Number
1164989257
Entity Type
Individual
Name
Ryan Jackson, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Feb 25, 2019
Last Updated
Feb 25, 2019

Practice Location

Address
535 S ELM ST
City
Itasca
ZIP Code
60143-2187
Phone
(630) 773-9416

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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