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General NPI Number Information
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NPI Number | 1346103041
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Entity Type | Organization
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Legal Business Name | BRIGHT HARBOR OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1800 LELAND AVE
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City | EVANSTON
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State | IL
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Zip | 60201-3329
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Country | US
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Telephone | 810-444-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 LELAND AVE
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City | EVANSTON
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State | IL
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Zip | 60201-3329
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Country | US
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Telephone | 810-444-1920
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST, DIRECTOR
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Name | KATHLEEN ZINTSMASTER
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Credential |
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Telephone | 810-444-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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