Individual
MRS. FARIDA K POONAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1537 W SQUIRE LN, ADDISON, IL 60101-5704
(630) 773-4049
Mailing address
1537 W SQUIRE LN, ADDISON, IL 60101-5704
(630) 773-4049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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