Individual provider · Type 1 NPI

Ethan R. Roberts

Occupational Therapist · Chicago, IL

NPI number 1336879055 Active

Practice location

1915 S Archer Ave
Chicago, IL 60616-1618

Call (312) 674-9132 Map

Fax (312) 674-9392

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Occupational Therapist Primary 225X00000X056014948 (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 1336879055

Ethan R. Roberts's National Provider Identifier is 1336879055, issued on Jun 15, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 18, 2022.