Provider Demographics
NPI:1760717557
Name:ZEITLIN, DEBORAH KAREN (MS)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:KAREN
Last Name:ZEITLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 CENTRE POINT CIR
Mailing Address - Street 2:#102
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1440
Mailing Address - Country:US
Mailing Address - Phone:630-955-1940
Mailing Address - Fax:630-955-1944
Practice Address - Street 1:1804 CENTRE POINT CIR
Practice Address - Street 2:#102
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1440
Practice Address - Country:US
Practice Address - Phone:630-955-1940
Practice Address - Fax:630-955-1944
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008828225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist