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Individual

MR. GINASH MATHEW GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2192
Mailing address
311 N CATALPA ST, ADDISON, IL 60101-5901

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005537
IL

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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