Individual
MRS. DEEPALI PUNWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2551 BANGERT LN, NAPERVILLE, IL 60564-5927
(630) 357-1527
Mailing address
2551 BANGERT LN, NAPERVILLE, IL 60564-5927
(630) 357-1527
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232682
BLUE CROSS BLUE PROVIDER
IL
Enumeration date
03/21/2007
Last updated
07/08/2007
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