Individual
CYNTHIA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 BEACH AVE APT 2D, LA GRANGE PARK, IL 60526-5740
(224) 558-1338
Mailing address
414 BEACH AVE APT 2D, LA GRANGE PARK, IL 60526-5740
(224) 558-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009077
IL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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