ALEXIS MALAINA JACKSON

GURNEE, IL
NPI1508984816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056-007635)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
-- ALEXIS MALAINA JACKSON OTR L
1800 NATIONS DR SUITE 208
GURNEE, IL 60031-9168
Phone number: 847-477-9034
Mailing Address
-- ALEXIS MALAINA JACKSON OTR L
820 KINGSTON AVE
RACINE, WI 53402-4049
Phone number: