Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL ROBERT DAMBACHER, PTA
Active Sole ProprietorOccupational Therapist · DUPO, IL
Registration Details
- NPI Number
- 1598210056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2016 (9.6908972093553 yrs)
- Last Updated
- Aug 24, 2016
- License
-
2016002048 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
95 STONEY DRDUPO, IL, 622391160Browse IL providers · Browse ZIP 62239
- Phone
- 6183650249
- Primary Specialty
-
Occupational Therapist
225200000X
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.