Individual
KAVITA K. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T., OTR/L
Contact information
Practice address
327 GUNDERSEN DR, SUITE C, CAROL STREAM, IL 60188-2402
(630) 784-3251
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.008594
IL
Other
Enumeration date
06/02/2010
Last updated
09/16/2011
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