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NPI Code Detail

MEDICARE: NANCY STANLEY OTR/L

MEDICARE:   NANCY  STANLEY  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 Therapist056-002597IL

General Provider Information

NPI Number : 1801555875
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY STANLEY OTR/L
Provider Business Mailing Address
First Line : 15430 WEST AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4661
Country : US
Telephone Number : 708-923-5050
Fax Number :
Provider Business Practice Location Address
First Line : 15430 WEST AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4661
Country : US
Telephone Number : 708-923-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2021
Last Update Date : 12/16/2021

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Directions to “ NANCY STANLEY OTR/L” Practice Location

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