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NPI Code Detail

MEDICARE: ARIANNA JOVON HARVEY OTR/L

MEDICARE: ARIANNA JOVON HARVEY 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 Therapist056016273IL

General Provider Information

NPI Number : 1659191500
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNA JOVON HARVEY OTR/L
Provider Business Mailing Address
First Line : 4907 W OHIO ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1753
Country : US
Telephone Number : 773-867-9273
Fax Number :
Provider Business Practice Location Address
First Line : 735 W DIVERSEY PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2337
Country : US
Telephone Number : 773-348-4055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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