Individual
DANIEL JAMES RORTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
406 BLAINE ST, BATAVIA, IL 60510-2909
(608) 513-8664
Mailing address
406 BLAINE ST, BATAVIA, IL 60510-2909
(608) 513-8664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009771
IL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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