NPI 1003020736
Susan Rose Koenig, OTR
Practice location
- Address
- 1025 Old McHenry Rd, Lake Zurich, IL 60047-8428
- Phone
- (847) 842-4057
- Mailing address
- 2517 Bluewater Dr, Wauconda, IL 60084-5024
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003020736
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.