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NPI Code Detail

MEDICARE: MS. RACHEL BETH GALANT OTR

MEDICARE: MS. RACHEL BETH GALANT OTR
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
1225XP0200XPediatric Occupational TherapistIL

General Provider Information

NPI Number : 1154530640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL BETH GALANT OTR
Provider Business Mailing Address
First Line : 2251 W FOSTER AVE
Second Line : UNIT 1
City : CHICAGO
State : IL
Zip : 60625-6063
Country : US
Telephone Number : 773-320-9079
Fax Number :
Provider Business Practice Location Address
First Line : 2211 N OAK PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60707-3351
Country : US
Telephone Number : 773-385-5573
Fax Number : 773-385-5581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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