Jennifer Dawn Jamison, DT
Individual provider Active NPI Developmental Therapist · Paxton, IL
NPI 1780908418 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1780908418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 304 E Ottawa Rd
Paxton, IL 60957-1646 - Phone
- (217) 419-0817
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IL | Yes |
Addresses
Primary practice location
304 E Ottawa Rd
Paxton, IL 60957-1646
Mailing address
304 E Ottawa Rd
Paxton, IL 60957-1646
Phone (217) 419-0817
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All providers in Paxton, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.