Provider Demographics
NPI:1487790994
Name:LOTTA, DEBORAH JENSKI (OTR L CHT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JENSKI
Last Name:LOTTA
Suffix:
Gender:F
Credentials:OTR L CHT
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:ANNE
Other - Last Name:JENSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR L CHT
Mailing Address - Street 1:515 W ALGONQUIN RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4439
Mailing Address - Country:US
Mailing Address - Phone:847-956-0388
Mailing Address - Fax:847-956-0379
Practice Address - Street 1:515 W ALGONQUIN ROAD SUITE 110
Practice Address - Street 2:
Practice Address - City:ARLINGOTN HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-956-0388
Practice Address - Fax:847-956-0379
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK01032Medicare PIN
ILK01007Medicare PIN