Provider Demographics
NPI:1790854693
Name:RAFF, BARBARA JACOBS (OTRL, CHT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JACOBS
Last Name:RAFF
Suffix:
Gender:F
Credentials:OTRL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5918 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-5056
Mailing Address - Country:US
Mailing Address - Phone:847-634-1922
Mailing Address - Fax:
Practice Address - Street 1:77 NORTH AIRLITE ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-695-5904
Practice Address - Fax:847-695-5985
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.000535225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand