Provider Demographics
NPI:1447427901
Name:MAREN, AMY KATHRYN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KATHRYN
Last Name:MAREN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:WELSFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3105 N WILKE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1495
Mailing Address - Country:US
Mailing Address - Phone:847-255-8690
Mailing Address - Fax:847-255-2260
Practice Address - Street 1:3105 N WILKE RD
Practice Address - Street 2:SUITE H
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1495
Practice Address - Country:US
Practice Address - Phone:847-255-8690
Practice Address - Fax:847-255-2260
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3433-026225XP0200X
IL056.005506225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics