Individual
MELEEZA PIDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2112 W GALENA BLVD STE 8-316, AURORA, IL 60506-3255
(630) 661-7253
Mailing address
1020 BRISTOL AVE, WESTCHESTER, IL 60154-2710
(708) 769-5769
(708) 345-9646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057005373
IL
Other
Enumeration date
07/28/2020
Last updated
03/23/2021
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