Individual
TUNDE A ILKANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
150 7TH AVE, SUITE 200, CHARDON, OH 44024-2908
(440) 285-4999
(440) 285-4996
Mailing address
150 7TH AVE, SUITE 200, CHARDON, OH 44024-2908
(440) 285-4999
(440) 285-4996
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002011
OH
Other
Enumeration date
10/19/2006
Last updated
05/31/2008
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