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NPI Code Detail

MEDICARE: NATALIE TOLMAIRE OTR

MEDICARE: NATALIE TOLMAIRE OTR
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 Therapist056005674IL

General Provider Information

NPI Number : 1912276734
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE TOLMAIRE OTR
Provider Business Mailing Address
First Line : 10300 SOUTHWEST HWY
Second Line :
City : CHICAGO RIDGE
State : IL
Zip : 60415-1426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SOUTHWEST HWY
Second Line :
City : CHICAGO RIDGE
State : IL
Zip : 60415-1426
Country : US
Telephone Number : 708-425-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 06/07/2012

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