Provider Demographics
NPI:1376612440
Name:HELLMAN RYAN, LEE KATHRYN (OTRL, MS)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:KATHRYN
Last Name:HELLMAN RYAN
Suffix:
Gender:F
Credentials:OTRL, MS
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:KATHRYN
Other - Last Name:HELLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL, MS
Mailing Address - Street 1:743 N WOLCOTT AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5539
Mailing Address - Country:US
Mailing Address - Phone:773-750-3758
Mailing Address - Fax:312-829-5366
Practice Address - Street 1:743 N WOLCOTT AVE # 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5539
Practice Address - Country:US
Practice Address - Phone:773-750-3758
Practice Address - Fax:312-829-5366
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist