Individual
CAROLYN E FRAGUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
(847) 996-6665
Mailing address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
(847) 996-6665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009478
IL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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