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Individual

MS. CHANDANA DASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
101 E MAIN ST, DU QUOIN, IL 62832-1422
(618) 542-8950
(618) 542-8746
Mailing address
606 COUNTRY CLUB LN, CARTERVILLE, IL 62918-1629
(618) 542-8950
(618) 542-8746

Taxonomy

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

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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