MEDICARE: MRS. CAROLYN E. DAY OTR/L

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
1	225X00000X	Occupational Therapist		IL

General Provider Information

NPI Number	:	1124214960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLYN E. DAY OTR/L

Provider Business Mailing Address
First Line	:	9964 W 144TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-2458
Country	:	US
Telephone Number	:	708-460-8027
Fax Number	:	708-460-8076

Provider Business Practice Location Address
First Line	:	9964 W 144TH ST
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-2458
Country	:	US
Telephone Number	:	708-460-8027
Fax Number	:	708-460-8076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	09/14/2007

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