Individual
AMANA MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CABOT DR, LISLE, IL 60532-3607
(630) 864-3800
Mailing address
8802 W. 102ND PLACE, PALOS HILLS, IL 60465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010953
IL
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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