Individual
GIFTY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
Mailing address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009527
IL
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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