MEDICARE: CHRISTINA THOM OTRL

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	5201008754	MI

General Provider Information

NPI Number	:	1871149450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA THOM OTRL

Provider Business Mailing Address
First Line	:	3450 N LAKE SHORE DR APT 3506
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2864
Country	:	US
Telephone Number	:	734-634-0564
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 N LAKE SHORE DR APT 3506
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2864
Country	:	US
Telephone Number	:	734-634-0564
Fax Number	:

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

Provider Enumeration Date	:	08/10/2019
Last Update Date	:	08/10/2019

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