Individual
MISS NIMITA KANSAGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3080 HELENA DR, TROY, MI 48083-5016
(847) 372-7756
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008898
IL
Other
Enumeration date
12/09/2010
Last updated
09/18/2019
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