JACK MA

AURORA, IL
NPI1538854252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: IL  057.005543)
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
JACK MA
4020 E NEW YORK ST
AURORA, IL 60504-4416
Phone number: 331-301-5590
Mailing Address
JACK MA
811 MORAN ST
JOLIET, IL 60435-4534
Phone number: