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Individual

MS. DEENA A MABORANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
14 FAWN RIDGE DR, OAKWOOD HILLS, IL 60013-1069
(847) 312-6421
(224) 397-6248
Mailing address
764 JUNE TER, LAKE ZURICH, IL 60047-6252
(847) 219-9673

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010092
IL

Other

Enumeration date
02/17/2015
Last updated
03/27/2025
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