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NPI Code Detail

MEDICARE: KRISTEN MARIE RICHARDS-OTT

MEDICARE:   KRISTEN MARIE RICHARDS-OTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146009575IL
2235Z00000XSpeech-Language Pathologist123306TX

General Provider Information

NPI Number : 1063669513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE RICHARDS-OTT
Provider Business Mailing Address
First Line : 1016 N STRATFORD RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-5842
Country : US
Telephone Number : 847-749-3896
Fax Number :
Provider Business Practice Location Address
First Line : 1016 N STRATFORD RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-5842
Country : US
Telephone Number : 847-749-3896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 01/06/2025

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Directions to “ KRISTEN MARIE RICHARDS-OTT ” Practice Location

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