Individual
MANEESHA D MULYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1219 W ROOSEVELT RD, SUITE C, MAYWOOD, IL 60153-4046
(708) 216-5300
(708) 531-7936
Mailing address
1223 BIRCHDALE LN, AURORA, IL 60504-6553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006885
IL
Other
Enumeration date
06/25/2008
Last updated
03/05/2010
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