Patti Ann Jackson D.T.

NPI 1093946303 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1093946303
Gender Female
Enumeration Date 08/04/2009
Last Updated 08/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
24543 S MULBERRY LANE
CRETE IL, 60417-3708, US
Phone (708) 672-9882
Fax (708) 672-9883
Business Location
24543 S MULBERRY LN
CRETE IL, 60417-3708, US
Phone (708) 672-9882
Fax (708) 672-9883
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Ms. Patti Ann Jackson D.T. NPI is 1093946303, taxonomy code is 222Q00000X Patti Ann Jackson D.T. physically located at 24543 S Mulberry Lane, Crete IL, 60417-3708. NPI Number Patti Ann Jackson D.T. has the Individual type.

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1093946303 NPI number is provided on an as is basis without warranty of any kind. 1093946303 is maintained by the National Plan & Provider Enumeration System. The contents of Patti Ann Jackson D.T. are for informational purposes only.