Provider Demographics
NPI:1073791133
Name:JAROSZ, JANE EDITH (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:EDITH
Last Name:JAROSZ
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13922 S OAKDALE CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7056
Mailing Address - Country:US
Mailing Address - Phone:815-474-9636
Mailing Address - Fax:
Practice Address - Street 1:13922 S OAKDALE CT
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7056
Practice Address - Country:US
Practice Address - Phone:815-474-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist