NPI 1922728047

Jason Roosevelt Brusa

Practitioner Recreation Therapist Chicago, IL

Practice location

Address: 820 S Damen Ave, Chicago, IL 60612-3728
Phone: (312) 569-9502
Mailing address: 902 Clement St, Joliet, IL 60435-4615

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 56129 (IL)

Other Recreation Therapist providers in Illinois →

Registry record

NPI: 1922728047
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2022
Record last updated: 30 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.