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NPI Code Detail

MEDICARE: MRS. KRISTY ANNE ZARLEY O.T.R/L

MEDICARE:  MRS. KRISTY ANNE ZARLEY  O.T.R/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
1225XP0200XPediatric Occupational Therapist056.004143IL

General Provider Information

NPI Number : 1780692319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTY ANNE ZARLEY O.T.R/L
Provider Business Mailing Address
First Line : 1157 W NEWPORT AVE
Second Line : UNIT C
City : CHICAGO
State : IL
Zip : 60657-1664
Country : US
Telephone Number : 773-549-6641
Fax Number :
Provider Business Practice Location Address
First Line : 1157 W NEWPORT AVE
Second Line : UNIT C
City : CHICAGO
State : IL
Zip : 60657-1664
Country : US
Telephone Number : 773-549-6641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 06/05/2011

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Directions to “ MRS. KRISTY ANNE ZARLEY O.T.R/L” Practice Location

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