Individual provider · Type 1 NPI

Jessica Jacknow

Physical Therapy Assistant · Forest Park, IL

NPI number 1013460781 Active

Practice location

140 Lathrop Ave
Forest Park, IL 60130-1067

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160003547 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1013460781

Jessica Jacknow's National Provider Identifier is 1013460781, issued on Jul 29, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Forest Park, IL. The record was last updated on Jul 29, 2016.