Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 056003245 | IL |
NPI | 1265699144 |
---|---|
Provider Name | Christine Giltner |
First Address | Downers Grove, IL 60515-2100 |
Second Address | Downers Grove, IL 60515-2100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 19/05/2008 |