Individual
RAMANGI PADMAJ ARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 MARK FRANKLIN DR, BENTON, IL 62812-2049
(618) 439-3500
Mailing address
1101 E GRAND AVE APT K7, CARBONDALE, IL 62901-3439
(617) 955-7226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011227
IL
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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