Provider Demographics
NPI:1821415928
Name:SZEWERNIAK, DAGMARA MAGDALENA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DAGMARA
Middle Name:MAGDALENA
Last Name:SZEWERNIAK
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 1:10 N REGENCY DR E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-6640
Mailing Address - Country:US
Mailing Address - Phone:847-809-7186
Mailing Address - Fax:
Practice Address - Street 1:10 N REGENCY DR E
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-6640
Practice Address - Country:US
Practice Address - Phone:847-809-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist