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NPI Code Detail

MEDICARE: MICHELLE MARIE OSENTOSKI

MEDICARE: MICHELLE MARIE OSENTOSKI
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 Therapist056012156IL

General Provider Information

NPI Number : 1619458486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE OSENTOSKI
Provider Business Mailing Address
First Line : 1400 BROOKDALE RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 BROOKDALE RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2126
Country : US
Telephone Number : 630-416-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ MICHELLE MARIE OSENTOSKI ” Practice Location

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