Search › Illinois › Occupational Therapist
Jefferson James Licup, OTR/L
NPI 1437484110 · on the registry since 2009
Practice
- Address
- 226 Tiger St
Bolingbrook, IL 60490 - Phone
- (708) 822-8886
- Fax
- (630) 378-4839
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois