Individual
NATALI KOEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8755 S HARLEM AVE, BRIDGEVIEW, IL 60455-1905
(708) 430-2295
Mailing address
8755 S HARLEM AVE, BRIDGEVIEW, IL 60455-1905
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
056015270
IL
Other
Enumeration date
04/10/2018
Last updated
12/19/2022
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