Provider Demographics
NPI:1225201239
Name:OBREMSKI, BETH ALISON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ALISON
Last Name:OBREMSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 BELLE VUE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9477
Mailing Address - Country:US
Mailing Address - Phone:630-466-0118
Mailing Address - Fax:
Practice Address - Street 1:273 BELLE VUE LN
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-9477
Practice Address - Country:US
Practice Address - Phone:630-466-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics