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Individual

SHARON TORTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
504 N RIVER RD, NAPERVILLE, IL 60563-4043
(877) 931-1496
Mailing address
2206 ASHBY LN, PLAINFIELD, IL 60586-5339
(630) 854-5872

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002278
IL

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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