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Individual

DAVID FERNQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT, OTR/L

Contact information

Practice address
2150 WEST GOLF ROAD, HOFFMAN ESTATES, IL 60169
(847) 755-0735
Mailing address
730 NORTH PINE AVENUE, ARLINGTON HEIGHTS, IL 60004
(847) 463-0736

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016250
IL

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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