Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 56001706 | IL |
N | 2251E1200X | Ergonomics | 56001706 | IL |
N | 225XE1200X | Ergonomics | 56001706 | IL |
N | 225XH1200X | Occupational Therapist - Hand | 56001706 | IL |
NPI | 1083830459 |
---|---|
Provider Name | Lori Ann Zinnecker |
First Address | Chicago, IL 60613-4719 |
Second Address | Chicago, IL 60613-4719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |