Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 056012331 | IL |
NPI | 1356938153 |
---|---|
Provider Name | Julie Marie Schiffler |
First Address | La Grange Park, IL 60526-5510 |
Second Address | La Grange Park, IL 60526-5510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2020 |
Last Update Date | 14/01/2021 |