Provider Demographics
NPI:1114042603
Name:POTESHMAN, SHEILA (OTR)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:POTESHMAN
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 1:661 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1235
Mailing Address - Country:US
Mailing Address - Phone:847-266-7729
Mailing Address - Fax:
Practice Address - Street 1:1181 LAKE COOK RD STE A
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5201
Practice Address - Country:US
Practice Address - Phone:847-964-2003
Practice Address - Fax:847-964-2005
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics