Healthcare Provider Details

I. General information

NPI: 1932411527
Provider Name (Legal Business Name): SABRINA MURINO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRINA MISSAGGIA OT

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 ESSINGTON RD
JOLIET IL
60435-8427
US

IV. Provider business mailing address

790 REMINGTON BLVD
BOLINGBROOK IL
60440-4909
US

V. Phone/Fax

Practice location:
  • Phone: 815-744-4551
  • Fax:
Mailing address:
  • Phone: 630-296-2223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056-007675
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: