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NPI Code Detail

MEDICARE: ANGIE MARIE BELAND MS, OTRL

MEDICARE: ANGIE MARIE BELAND MS, OTRL
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 : 1568672467
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE MARIE BELAND MS, OTRL
Provider Business Mailing Address
First Line : 1227 LEON WAY APT 3
Second Line :
City : BOURBONNAIS
State : IL
Zip : 60914-4776
Country : US
Telephone Number : 815-549-6972
Fax Number :
Provider Business Practice Location Address
First Line : 212 BARNEY DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-5271
Country : US
Telephone Number : 815-932-0623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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