Irving Ballena Rosaupan OTR/L

NPI 1760759260 - Occupational Therapist - 225XP0019X

NPI Details
NPI 1760759260
Gender Male
Enumeration Date 11/28/2011
Last Updated 11/28/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
675 S ROSELLE RD
SCHAUMBURG IL, 60193-3100, US
Phone (847) 352-5500
Fax
Business Location
675 S ROSELLE RD
SCHAUMBURG IL, 60193-3100, US
Phone (847) 352-5500
Fax
Toxanomy
Taxonomy Code 225XP0019X
License State Illinois
License Number 056007816
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According to our database, Irving Ballena Rosaupan OTR/L NPI is 1760759260, taxonomy code is 225XP0019X and license number is 056007816, license state is located at Illinois. Irving Ballena Rosaupan OTR/L physically located at 675 S Roselle Rd, Schaumburg IL, 60193-3100. NPI Number Irving Ballena Rosaupan OTR/L has the Individual type.

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1760759260 NPI number is provided on an as is basis without warranty of any kind. 1760759260 is maintained by the National Plan & Provider Enumeration System. The contents of Irving Ballena Rosaupan OTR/L are for informational purposes only.