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NPI Code Detail

MEDICARE: NATASHA VICTORIA WINTER OTD, OTR/L

MEDICARE: NATASHA VICTORIA WINTER OTD, 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
1106S00000XBehavior Technician
2225X00000XOccupational Therapist056.016088IL

General Provider Information

NPI Number : 1801405196
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA VICTORIA WINTER OTD, OTR/L
Provider Business Mailing Address
First Line : 4908 N ELSTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2506
Country : US
Telephone Number : 773-205-8505
Fax Number :
Provider Business Practice Location Address
First Line : 4908 N ELSTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2506
Country : US
Telephone Number : 773-205-8505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/05/2024

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