Individual provider · Type 1 NPI

Krista Ruth Bock Mangan

Occupational Therapist · Chicago, IL

NPI number 1043367592 Active

Practice location

10523 S Drake Ave
Chicago, IL 60655

Mailing address

12635 S 76th Ave
Palos Heights, IL 60463

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0560004157 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1043367592

Krista Ruth Bock Mangan's National Provider Identifier is 1043367592, issued on Jan 5, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.