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NPI Code Detail

MEDICARE: MRS. DEBRA LYNN RHONE D.T.

MEDICARE: MRS. DEBRA LYNN RHONE D.T.
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1629216304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA LYNN RHONE D.T.
Provider Business Mailing Address
First Line : 5527 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1012
Country : US
Telephone Number : 773-383-5841
Fax Number :
Provider Business Practice Location Address
First Line : 5527 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1012
Country : US
Telephone Number : 773-383-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2009
Last Update Date : 02/03/2009

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