Basic Information
| Provider Information | |||||||||
| NPI: | 1659519759 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SHATZER | ||||||||
| FirstName: | ESTHER | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 W WACKER DR | ||||||||
| Address2: | SUITE 1020 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606061216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126400407 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1710 W 1ST ST | ||||||||
| Address2: | SUITE D | ||||||||
| City: | CEDAR FALLS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 506131840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192738988 | ||||||||
| FaxNumber: | 3192738992 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2009 | ||||||||
| LastUpdateDate: | 01/27/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 01196 | IA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.