Tiffany A Sodergren
Occupational Therapist - Pediatrics
4056 N Richmond St 1b
Chicago
, Illinois 60618-2634
Tiffany A Sodergren
Occupational Therapist - Pediatrics
4056 N Richmond St 1b
Chicago
, Illinois 60618-2634
(773) 636-4291
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Tiffany A Sodergren
- 4056 N Richmond St 1b
- Chicago, IL
- Zip : 60618-2634
- Phone : (773) 636-4291
Second Address
- Tiffany A Sodergren
- 4056 N Richmond St 1b
- Chicago, IL
- Zip : 60618-2634
- Phone : (773) 636-4291
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | IL |
National Provider Identifier
| NPI | 1053581363 |
|---|---|
| Provider Name | Tiffany A Sodergren |
| First Address | Chicago, IL 60618-2634 |
| Second Address | Chicago, IL 60618-2634 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
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.