Mr. Jeffrey Edward Richardson
Occupational Therapist - Physical Rehabilitation
1801 Alabama Ave
Great Lakes
, Illinois 60088-4246
Mr. Jeffrey Edward Richardson
Occupational Therapist - Physical Rehabilitation
1801 Alabama Ave
Great Lakes
, Illinois 60088-4246
(224) 456-4225
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mr. Jeffrey Edward Richardson
- 1801 Alabama Ave
- Great Lakes, IL
- Zip : 60088-4246
- Phone : (224) 456-4225
Second Address
- Mr. Jeffrey Edward Richardson
- 1801 Alabama Ave
- Great Lakes, IL
- Zip : 60088-4246
- Phone : (224) 456-4225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 273161 | IL |
National Provider Identifier
| NPI | 1245548007 |
|---|---|
| Provider Name | Mr. Jeffrey Edward Richardson |
| First Address | Great Lakes, IL 60088-4246 |
| Second Address | Great Lakes, IL 60088-4246 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2010 |
| Last Update Date | 15/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.