Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN JEAN BANJAVCIC, COTA L
ActiveMRS. SUSAN JEAN BANJAVCIC, COTA L is a Occupational Therapy Assistant healthcare provider located in ALGONQUIN, Illinois. NPI 1922290774 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ALGONQUIN, IL
Registration Details
- NPI Number
- 1922290774
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2007 (18.955531884525 yrs)
- Last Updated
- Aug 15, 2007
Practice Information
- Address
-
650 ACADEMIC DRIVESCHOOL DISTRICT #158ALGONQUIN, IL, 60102Browse IL providers · Browse ZIP 60102
- Phone
- 8476596158
- Fax
- 8476596122
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.