Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 31002939A | IN |
NPI | 1285646810 |
---|---|
Provider Name | Ms. Christine M Habas |
First Address | Bolingbrook, IL 60440-4909 |
Second Address | Munster, IN 46321-3530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 28/11/2012 |