Mrs. Crystal Mary Dirks
Occupational Therapy Assistant
211 75th St
Burr Ridge
, Illinois 60527
Mrs. Crystal Mary Dirks
Occupational Therapy Assistant
211 75th St
Burr Ridge
, Illinois 60527
(630) 995-0408
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Crystal Mary Dirks
- 1s221 Euclid Ave
- Villa Park, IL
- Zip : 60181-3902
- Phone : (630) 995-0408
Second Address
- Mrs. Crystal Mary Dirks
- 211 75th St
- Burr Ridge, IL
- Zip : 60527
- Phone : (630) 230-1170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057004588 | IL |
National Provider Identifier
| NPI | 1023635364 |
|---|---|
| Provider Name | Mrs. Crystal Mary Dirks |
| First Address | Villa Park, IL 60181-3902 |
| Second Address | Burr Ridge, IL 60527 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2020 |
| Last Update Date | 02/07/2020 |
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.