Provider Demographics
NPI:1093477929
Name:SCHWARTZ, EMMA ROSE (OTR)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:ROSE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-7829
Mailing Address - Country:US
Mailing Address - Phone:630-580-0853
Mailing Address - Fax:
Practice Address - Street 1:910 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-7829
Practice Address - Country:US
Practice Address - Phone:630-580-0853
Practice Address - Fax:630-686-1535
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist