Provider Demographics
NPI:1063550127
Name:MYSZKOWSKI, DEBORAH A (OTR)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:MYSZKOWSKI
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38W561 CALLIGHAN PL
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-6064
Mailing Address - Country:US
Mailing Address - Phone:630-202-5502
Mailing Address - Fax:630-202-5502
Practice Address - Street 1:38W561 CALLIGHAN PL
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-6064
Practice Address - Country:US
Practice Address - Phone:630-202-5502
Practice Address - Fax:630-202-5502
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-005762225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics