Provider Demographics
NPI:1154559458
Name:AUBREY, CARRIE (OTR/L)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:AUBREY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E KENDALL DR UNIT 205
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1695
Mailing Address - Country:US
Mailing Address - Phone:630-327-4299
Mailing Address - Fax:
Practice Address - Street 1:302 E KENDALL DR UNIT 205
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1695
Practice Address - Country:US
Practice Address - Phone:630-327-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist