Jacqueline Grzymala, MOR/L
Occupational Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1669946083
StatusActive
Last updated in NPPESJan 18, 2019
Details
- NPI
- 1669946083
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jacqueline Grzymala
- Credential
- MOR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2019
- Last updated
- Jan 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056011792 | IL | Yes |
Practice location
3712 N Broadway St # 250Chicago, IL 60613-4235
Phone 312-458-9865
Mailing address
3100 Lexington Ln Apt 210Glenview, IL 60026-5936
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