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General NPI Number Information
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NPI Number | 1548061062
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Entity Type | Organization
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Legal Business Name | ESTRELLITA OT PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 119 S WESTERN AVE UNIT 1, #299
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 708-762-0374
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Fax |
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Provider Business Mailing Address
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Address Line | 119 S WESTERN AVE UNIT 1, #299
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | DEBBIE PATINO JUAREZ
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Credential | OTR/L
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Telephone | 708-762-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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