Individual
MANDY TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 CHILDRENS PLAZA, BOX 142, CHICAGO, IL 60614
(773) 327-2880
Mailing address
1309 N WELLS ST, UNIT 1206, CHICAGO, IL 60610-1970
(832) 526-5483
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.008321
IL
Other
Enumeration date
04/29/2008
Last updated
01/09/2009
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