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NPI Code Detail

MEDICARE: MRS. VITTORIA GIANGRASSO OTR/L

MEDICARE: MRS. VITTORIA GIANGRASSO 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
1225XP0200XPediatric Occupational Therapist056.006969IL

General Provider Information

NPI Number : 1588839732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VITTORIA GIANGRASSO OTR/L
Provider Business Mailing Address
First Line : 14 FAWN RIDGE DR
Second Line :
City : OAKWOOD HILLS
State : IL
Zip : 60013-1069
Country : US
Telephone Number : 847-312-6421
Fax Number :
Provider Business Practice Location Address
First Line : 14 FAWN RIDGE DR
Second Line :
City : OAKWOOD HILLS
State : IL
Zip : 60013-1069
Country : US
Telephone Number : 847-312-6421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2008
Last Update Date : 01/17/2026

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