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Individual

AKASHA DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
275 S LASALLE ST, AURORA, IL 60505-4258
(630) 897-6947
Mailing address
308 FRANCESCA CT, OSWEGO, IL 60543-7314
(321) 361-8586

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005083
IL

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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