Provider Demographics
NPI:1932125341
Name:PREBYS, DEBRA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:PREBYS
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 1:249 LANDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3611
Mailing Address - Country:US
Mailing Address - Phone:630-346-8057
Mailing Address - Fax:630-806-8175
Practice Address - Street 1:1251 AVERILL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-4500
Practice Address - Country:US
Practice Address - Phone:630-879-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056000465225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics