Theresa Bakula, Pediatric Ot, Llc

NPI 1255615738 - Occupational Therapist - 225X00000X

NPI Details
NPI 1255615738
Enumeration Date 10/03/2011
Last Updated 10/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name THERESA MARION THERESA
Position OCCUPATIONAL THERAPIST
Phone (630) 240-2135
Fax (630) 563-1696
Practice Location
3134 SUNNYSIDE AVE
BROOKFIELD IL, 60513-1328, US
Phone (630) 240-2135
Fax (630) 563-1696
Business Location
3134 SUNNYSIDE AVE
BROOKFIELD IL, 60513-1328, US
Phone (630) 240-2135
Fax (630) 563-1696
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056.008322
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According to our database, Theresa Bakula, Pediatric Ot, Llc NPI is 1255615738, taxonomy code is 225X00000X and license number is 056.008322, license state is located at Illinois. Theresa Bakula, Pediatric Ot, Llc physically located at 3134 Sunnyside Ave, Brookfield IL, 60513-1328. NPI Number 1033115704 has the healthcare provider type.

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1255615738 NPI number is provided on an as is basis without warranty of any kind. 1255615738 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Bakula, Pediatric Ot, Llc are for informational purposes only.