Individual
DINA N VATCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 NORTH BLVD, OAK PARK, IL 60301-1351
(202) 360-2343
Mailing address
1344 N WOLCOTT AVE APT 1, CHICAGO, IL 60622-6397
(202) 360-2343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008813
IL
Other
Enumeration date
11/17/2022
Last updated
01/10/2023
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