| Doctor Name: | SUSAN L BOTICA |
| NPI Number: | 1013900455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L,CHT |
| License Number: | 056002054 |
| Business Practice Address: | 2534 E Lincoln Hwy New Lenox, IL - 604519712 |
| Business Phone Number: | 6302962223 |
| Business Fax Number: | 6307593251 |
| Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604404909 |
| Phone Number: | 6302962223 |
| Fax Number: | 6307593251 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 01/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 056002054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |