Individual
MRS. MODINAT IRETIOLUWA BOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAZON AVE, DWIGHT, IL 60420-1197
(815) 584-1240
Mailing address
1541 STEFANIE LN, BOURBONNAIS, IL 60914-9672
(630) 888-0868
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
057005250
IL
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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