Robert Eric Jack, cota
Occupational Therapy Assistant in Glenview, IL. Individual provider (NPI-1).
NPI number1366073579
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1366073579
- Entity type
- Individual (NPI-1)
- Name
- Robert Eric Jack
- Credential
- cota
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
2600 Compass RdGlenview, IL 60026-8001
Phone 847-441-5593
Mailing address
307 N Prague AveEgg Harbor City, NJ 08215-3347
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All 125 Occupational Therapy Assistant providers in Glenview · All 3,119 providers in Glenview
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