Individual
FATEMA T AZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1830 JARVIS AVE, ELK GROVE VILLAGE, IL 60007-2440
(615) 778-4066
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001293
IL
Other
Enumeration date
03/23/2007
Last updated
04/22/2019
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