Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEBORAH ANN JACKSON, PTA
Active Sole ProprietorDEBORAH ANN JACKSON, PTA is a Occupational Therapist healthcare provider located in STREATOR, Illinois. NPI 1659039824 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · STREATOR, IL
Registration Details
- NPI Number
- 1659039824
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2021 (4.5143643290932 yrs)
- Last Updated
- Dec 3, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1525 E MAIN STSTREATOR, IL, 613643162Browse IL providers · Browse ZIP 61364
- Phone
- 8156724516
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in STREATOR, IL
| Name | Credential | NPI |
|---|---|---|
| PENNY RUSS | PTA | 1134278062 |
| DEBRA KOZSDIY | — | 1275884413 |
| SHERI WILKINSON | — | 1487062097 |
| JESSICA WALLBAUM | — | 1962969246 |
| ANGELICA MORENO | — | 1124653019 |
| SHANNON R JOHNSON | — | 1437787579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.