Individual
DAYANA PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
258 N LEE ST, MOUNT PROSPECT, IL 60056-1954
(773) 812-8420
Mailing address
258 N LEE ST, MOUNT PROSPECT, IL 60056-1954
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002248
IL
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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