Jason Roosevelt Brusa
Jason Roosevelt Brusa is a Recreation Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
820 S Damen AveChicago, IL 60612-3728
Phone: (312) 569-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recreation Therapist (primary) | Taxonomy 225800000X · Licence 56129 (IL) |
|---|
Record details
| NPI number | 1922728047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2022 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
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