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NPI Code Detail

MEDICARE: MS. PATRICIA S. THOMPSON OTR

MEDICARE:  MS. PATRICIA S. THOMPSON  OTR
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 TherapistIL

General Provider Information

NPI Number : 1881739498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA S. THOMPSON OTR
Provider Business Mailing Address
First Line : PO BOX 509
Second Line :
City : MEDINAH
State : IL
Zip : 60157-0509
Country : US
Telephone Number : 630-529-1406
Fax Number :
Provider Business Practice Location Address
First Line : 307 W GRAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60610-4140
Country : US
Telephone Number : 312-238-6850
Fax Number : 312-238-6851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ MS. PATRICIA S. THOMPSON OTR” Practice Location

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