MEDICARE: OLGA ROZIN-LEVIN OT

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
1	225X00000X	Occupational Therapist	1999141568	MO

General Provider Information

NPI Number	:	1841440153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA ROZIN-LEVIN OT

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:	630-928-5080

Provider Business Practice Location Address
First Line	:	1832 WENTZVILLE PKWY
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3817
Country	:	US
Telephone Number	:	636-327-7110
Fax Number	:	636-327-7135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	03/31/2016

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Directions to “ OLGA ROZIN-LEVIN OT” Practice Location

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