Healthcare Provider Details

I. General information

NPI: 1720501737
Provider Name (Legal Business Name): ADRIANA ESCARPITA OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADRIANA ESCARPITA OTR

II. Dates (important events)

Enumeration Date: 07/21/2017
Last Update Date: 07/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 OAKTON PL
DES PLAINES IL
60018-2045
US

IV. Provider business mailing address

6309 W PATTERSON AVE
CHICAGO IL
60634-2429
US

V. Phone/Fax

Practice location:
  • Phone: 773-430-2685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056012042
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: