Individual
FARAZ ALI MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
3233 W ADDISON ST, CHICAGO, IL 60618-4328
(773) 478-0496
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015912
IL
Other
Enumeration date
04/02/2024
Last updated
10/22/2024
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