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NPI Code Detail

MEDICARE: KATHARINE ANNA RICH-HARTMANN OTR/L

MEDICARE: KATHARINE ANNA RICH-HARTMANN 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 Therapist056.009310IL

General Provider Information

NPI Number : 1659629129
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE ANNA RICH-HARTMANN OTR/L
Provider Business Mailing Address
First Line : 3344 N GREENVIEW AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2130
Country : US
Telephone Number : 314-452-4803
Fax Number :
Provider Business Practice Location Address
First Line : 1957 W DICKENS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-3934
Country : US
Telephone Number : 773-789-9640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/15/2012

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