Individual
TIFFANY A SODERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4056 N RICHMOND ST, 1B, CHICAGO, IL 60618-2634
(773) 636-4291
Mailing address
4056 N RICHMOND ST, 1B, CHICAGO, IL 60618-2634
(773) 636-4291
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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