Most Relevant Information
Provider Data
| NPI Number: | 1003020736 |
| Provider Name: | SUSAN ROSE KOENIG OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1025 OLD MCHENRY RD
LAKE ZURICH
IL
600478428
Practice Location Phone/Fax
| Phone: | 8478424057 |
| Fax: |
Provider Mailing Location
2517 BLUEWATER DR
WAUCONDA
IL
600845024
Provider Mailing Phone/Fax
| Phone: | 8474870496 |
| Fax: |