MR. JEFFERSON JAMES MAHINAY LICUP OTR/L
NPI 1437484110
Occupational Therapist in Bolingbrook, IL
About Mr. Jefferson James Mahinay Licup Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFFERSON JAMES MAHINAY LICUP OTR/L (NPI 1437484110) is an individual occupational therapist in Bolingbrook, Illinois, licensed in Illinois (056007185) and active in the NPI registry since October 2009.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jefferson James Licup's NPI number?
The NPI number for Jefferson James Licup is 1437484110. It was assigned to this individual provider in the NPPES registry on October 13, 2009.
Where is Jefferson James Licup located?
Jefferson James Licup practices at 226 Tiger St, Bolingbrook, IL 60490. The listed phone number is (708) 822-8886.
What is Jefferson James Licup's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Jefferson James Licup was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.