Provider Demographics
NPI:1821573726
Name:FITTERER, STEFANIE ANNA (MSOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:ANNA
Last Name:FITTERER
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 N FREMONT ST # 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3912
Mailing Address - Country:US
Mailing Address - Phone:630-544-4271
Mailing Address - Fax:
Practice Address - Street 1:3714 N FREMONT ST # 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3912
Practice Address - Country:US
Practice Address - Phone:630-544-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist