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Individual

BRIAN HOVORKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, OTR/L

Contact information

Practice address
100 W PLAINFIELD RD, COUNTRYSIDE, IL 60525-2869
(708) 588-0833
Mailing address
4136 WENONAH AVE, STICKNEY, IL 60402-4305
(708) 285-1118

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010251
IL

Other

Enumeration date
05/13/2015
Last updated
05/13/2015
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