Individual
HARSHADA AMRENDRA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5625 W 79TH ST, BURBANK, IL 60459-1349
(630) 674-1187
Mailing address
558 CLEAVLAND DR, BOLINGBROOK, IL 60440-9021
(630) 674-1187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.005280
IL
261QX0100X
Occupational Medicine Clinic/Center
056005280
—
Other
Enumeration date
04/14/2009
Last updated
03/03/2020
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