Individual
MRS. EVGUENIA SERGEEVNA POPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3817 N LAWNDALE AVE APT 3E, CHICAGO, IL 60618-4151
(408) 506-1933
Mailing address
3817 N LAWNDALE AVE APT 3E, CHICAGO, IL 60618-4151
(408) 506-1933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011221
IL
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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