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NPI Code Detail

MEDICARE: MS. LINNEA ELIZABETH KONTNEY OTR/L

MEDICARE: MS. LINNEA ELIZABETH KONTNEY 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
1225X00000XOccupational Therapist056.013227IL
2225X00000XOccupational Therapist2020035468MO

General Provider Information

NPI Number : 1124660840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINNEA ELIZABETH KONTNEY OTR/L
Provider Business Mailing Address
First Line : 3115 S GRAND BLVD.
Second Line : SUITE 224
City : SAINT LOUIS
State : MO
Zip : 63118
Country : US
Telephone Number : 847-975-7562
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N CLYBOURN AVE UNIT C105
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2295
Country : US
Telephone Number : 312-242-1665
Fax Number : 888-972-7531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2019
Last Update Date : 03/18/2021

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