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NPI Code Detail

MEDICARE: MRS. LIBBY L ROSENSTEIN OTR/L

MEDICARE: MRS. LIBBY L ROSENSTEIN OTR/L
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
1225X00000XOccupational Therapist056.002861IL

General Provider Information

NPI Number : 1518119957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIBBY L ROSENSTEIN OTR/L
Provider Business Mailing Address
First Line : 3018 N SHERIDAN RD
Second Line : APT. 4 S
City : CHICAGO
State : IL
Zip : 60657-5525
Country : US
Telephone Number : 773-857-0126
Fax Number :
Provider Business Practice Location Address
First Line : 3018 N SHERIDAN RD
Second Line : APT. 4 S
City : CHICAGO
State : IL
Zip : 60657-5525
Country : US
Telephone Number : 773-857-0126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2008
Last Update Date : 10/16/2008

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