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NPI Code Detail

MEDICARE: MRS. PAMELA G SOTTOSANTO

MEDICARE: MRS. PAMELA G SOTTOSANTO
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 Therapist057000797IL

General Provider Information

NPI Number : 1487787388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA G SOTTOSANTO
Provider Business Mailing Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number : 815-469-1500
Fax Number :
Provider Business Practice Location Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number : 815-469-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 04/27/2022

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Directions to “ MRS. PAMELA G SOTTOSANTO ” Practice Location

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