Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Patti Ann Jackson, DT

Individual provider Developmental Therapist · NPI 1093946303

MS. Patti Ann Jackson, DT is a Developmental Therapist in Crete, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

24543 S Mulberry Ln
Crete, IL 60417-3708
Phone: (708) 672-9882
Fax: (708) 672-9883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1093946303
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorYes
NPI enumeratedAugust 4, 2009
Last updated in NPPESAugust 4, 2009

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