Individual provider · Type 1 NPI

Matthew Reiot Klebenow, O.T.

Occupational Therapist · Shorewood, IL

NPI number 1043567720 Active

Practice location

852A Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center
Shorewood, IL 60404

Fax (815) 741-0774

Mailing address

333 North Madison, Provena Saint Joseph Medical Center
Joliet, IL 60435

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.004830 (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 1043567720

Matthew Reiot Klebenow, O.T.'s National Provider Identifier is 1043567720, issued on Aug 13, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shorewood, IL. The record was last updated on Aug 13, 2012.