Provider Demographics
NPI:1558661124
Name:REHMANI, SHEHROSE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHEHROSE
Middle Name:
Last Name:REHMANI
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 1:1715 CHICAGO AVE
Mailing Address - Street 2:APARTMENT #904S
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-6020
Mailing Address - Country:US
Mailing Address - Phone:310-402-7047
Mailing Address - Fax:
Practice Address - Street 1:1715 CHICAGO AVE
Practice Address - Street 2:APARTMENT #904S
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-6020
Practice Address - Country:US
Practice Address - Phone:310-402-7047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056009149225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics