Jyotsna R Supnekar in Bolingbrook - Occupational Therapist
Jyotsna R Supnekar - NPI 1104034396
Jyotsna R Supnekar is a Occupational Therapist in Bolingbrook, Illinois. Jyotsna R Supnekar practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jyotsna R Supnekar is 1104034396. The last update date is 2011-07-18.
Jyotsna R Supnekar's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223. The mailing address for Jyotsna R Supnekar is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jyotsna R Supnekar |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR, CHT |
NPI Number Detail
| NPI Number | 1104034396 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2011-07-18 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 46TR00154000 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identification code issued to Jyotsna R Supnekar by the Centers for Medicare & Medicaid Services?
The Jyotsna R Supnekar has been assigned the NPI (National Provider Identifier) 1104034396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jyotsna R Supnekar?
The Jyotsna R Supnekar is situated at 790 Remington Blvd, in the city of Bolingbrook, state of IL, with the zip code 604404909.
What is Jyotsna R Supnekar's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jyotsna R Supnekar's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104034396 to Jyotsna R Supnekar?
The Jyotsna R Supnekar received its 1104034396 assignment from the Centers for Medicare & Medicaid Services on 2007-05-19.
As of what date were the details pertaining to Jyotsna R Supnekar last refreshed?
The information related to the Jyotsna R Supnekar, including its address, specialty, and other relevant details, was last updated on 2011-07-18.
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