Provider Demographics
NPI:1578329900
Name:SLUSARSKI, ANGELA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:SLUSARSKI
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 1:1535 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8956
Mailing Address - Country:US
Mailing Address - Phone:630-513-5012
Mailing Address - Fax:
Practice Address - Street 1:1535 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-8956
Practice Address - Country:US
Practice Address - Phone:630-513-5012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056014546225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics