Individual
SUPRIYA SEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1740 W TAYLOR ST # MC814, C-100, CHICAGO, IL 60612-7232
(312) 355-4390
Mailing address
221 E CULLERTON ST APT 701, CHICAGO, IL 60616-1221
(312) 451-4390
Taxonomy
Speciality
Code
Description
License number
State
225XH1300X
Human Factors Occupational Therapist
Primary
056.004684
IL
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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