Doctor Name: | MRS. JENNIFER B RIFIS-MENG |
NPI Number: | 1023331857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 056.004405 |
Business Practice Address: | 777 Park Ave W Highland Park, IL - 600352433 |
Business Phone Number: | 8474803920 |
Business Fax Number: | 8474802738 |
Mailing Address: | 777 Park Ave W, HIGHLAND PARK |
State: | IL |
Postal Code: | 600352433 |
Phone Number: | 8474803920 |
Fax Number: | 8474802738 |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056.004405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |