Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 056003946 | IL |
NPI | 1043468523 |
---|---|
Provider Name | Mrs. Dawn Bari Reichman |
First Address | Deerfield, IL 60015-2358 |
Second Address | Deerfield, IL 60015-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 08/09/2008 |