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NPI Code Detail

MEDICARE: LINDA RINKER OT

MEDICARE:   LINDA  RINKER  OT
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 Therapist1700473KS

General Provider Information

NPI Number : 1033312699
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA RINKER OT
Provider Business Mailing Address
First Line : 141 MARKET PL
Second Line : SUITE 203
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-2034
Country : US
Telephone Number : 618-398-4118
Fax Number : 847-881-9640
Provider Business Practice Location Address
First Line : 141 MARKET PL
Second Line : SUITE 203
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-2034
Country : US
Telephone Number : 618-398-4118
Fax Number : 847-881-9640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 05/22/2008

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Directions to “ LINDA RINKER OT” Practice Location

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