Provider Demographics
NPI:1073227252
Name:JONES-BROWNING, RESHAWN (OTR/L)
Entity Type:Individual
Prefix:
First Name:RESHAWN
Middle Name:
Last Name:JONES-BROWNING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12550 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1859
Mailing Address - Country:US
Mailing Address - Phone:708-597-9700
Mailing Address - Fax:708-597-7004
Practice Address - Street 1:12550 S RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1859
Practice Address - Country:US
Practice Address - Phone:708-597-9700
Practice Address - Fax:708-597-7004
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056006203225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist