Casie Lynn Debardi OTR/L

NPI 1508159112 - Occupational Therapist - 225X00000X

NPI Details
NPI 1508159112
Gender Female
Enumeration Date 05/16/2011
Last Updated 05/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3435 W VAN BUREN ST
CHICAGO IL, 60624-3312, US
Phone (773) 826-6400
Fax
Business Location
PO BOX 103
REEDSVILLE WV, 26547-0103, US
Phone (304) 282-9672
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056.009371
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According to our database, Casie Lynn Debardi OTR/L NPI is 1508159112, taxonomy code is 225X00000X and license number is 056.009371, license state is located at Illinois. Casie Lynn Debardi OTR/L physically located at 3435 W Van Buren St, Chicago IL, 60624-3312. NPI Number Casie Lynn Debardi OTR/L has the Individual type.

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1508159112 NPI number is provided on an as is basis without warranty of any kind. 1508159112 is maintained by the National Plan & Provider Enumeration System. The contents of Casie Lynn Debardi OTR/L are for informational purposes only.