Individual
ERIC ISIP MAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
573 PINEBROOK DR, BOLINGBROOK, IL 60490-3173
(630) 863-1557
Mailing address
573 PINEBROOK DR, BOLINGBROOK, IL 60490-3173
(630) 863-1557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05600992
IL
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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