Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARINE SUTRISNO, OTR/L
Active Sole ProprietorMARINE SUTRISNO, OTR/L is a Rehabilitation Clinic healthcare provider located in SCHAUMBURG, Illinois. NPI 1073902417 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Clinic · SCHAUMBURG, IL
Registration Details
- NPI Number
- 1073902417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2015 (11.592280098064 yrs)
- Last Updated
- Jan 22, 2015
- License
-
056009695 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 CROWN CTSCHAUMBURG, IL, 601933182Browse IL providers · Browse ZIP 60193
- Phone
- 3122382460
- Primary Specialty
-
Rehabilitation Clinic
261QR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.