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NPI Code Detail

MEDICARE: AMIE KRAMP OTR/L

MEDICARE: AMIE KRAMP 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 Therapist5662-26WI
2225X00000XOccupational Therapist056.011623IL

General Provider Information

NPI Number : 1396130977
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIE KRAMP OTR/L
Provider Business Mailing Address
First Line : 950 LEE ST STE 105
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-6556
Country : US
Telephone Number : 877-486-4140
Fax Number :
Provider Business Practice Location Address
First Line : 917 SHERWOOD DR STE 201
Second Line :
City : LAKE BLUFF
State : IL
Zip : 60044-2224
Country : US
Telephone Number : 877-486-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 03/17/2018

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