Individual
VIVIAN ODAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8700 31ST ST, BROOKFIELD, IL 60513-1000
(708) 485-5809
Mailing address
8700 31ST ST, BROOKFIELD, IL 60513-1000
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056.002908
IL
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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