Provider Demographics
NPI:1275641375
Name:LITCHY OCCUPATIONAL THERAPY SERVICES
Entity Type:Organization
Organization Name:LITCHY OCCUPATIONAL THERAPY SERVICES
Other - Org Name:HOTARY OCCUPATIONAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOTARY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR L
Authorized Official - Phone:773-294-0790
Mailing Address - Street 1:5127 N DAMEN AVE APT A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3558
Mailing Address - Country:US
Mailing Address - Phone:773-294-0790
Mailing Address - Fax:773-944-5784
Practice Address - Street 1:5127 N DAMEN AVE APT A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3558
Practice Address - Country:US
Practice Address - Phone:773-294-0790
Practice Address - Fax:773-944-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056004424225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty