Individual
INIGO LOUIS MANINGDING TAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(630) 884-4025
Mailing address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(630) 884-4025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015592
IL
Other
Enumeration date
04/03/2019
Last updated
08/08/2024
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