Robert Eric Jack, COTA

NPI #1366073579 in Glenview, Illinois

Provider Information

NPI Number
1366073579
Entity Type
Individual
Name
Robert Eric Jack, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 28, 2020
Last Updated
Jan 28, 2020

Practice Location

Address
2600 COMPASS RD
ZIP Code
60026-8001
Phone
(847) 441-5593

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