Individual
MRS. TYMEKA ARTHEIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
3521 W 72ND ST, CHICAGO, IL 60629-4301
(773) 434-8028
(773) 434-8028
Mailing address
3521 W 72ND ST, CHICAGO, IL 60629-4301
(773) 434-8028
(773) 434-8028
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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