Shantie J Depaz, OT
Occupational Therapist in Warrenville, IL. Individual provider (NPI-1).
NPI number1922052877
StatusActive
Last updated in NPPESJun 23, 2014
Details
- NPI
- 1922052877
- Entity type
- Individual (NPI-1)
- Name
- Shantie J Depaz
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Jun 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056-005839 | IL | Yes |
Other names
- Shantie P Jabonero (Former Name)
Practice location
27650 Ferry RdSuite 100
Warrenville, IL 60555-3845
Phone 630-225-2663 · Fax 630-225-2399
Mailing address
27650 Ferry RdSuite 100
Warrenville, IL 60555-3845
Phone 630-225-2663 · Fax 630-225-2399
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All 32 Occupational Therapist providers in Warrenville · All 686 providers in Warrenville
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