Jorly Thariath
NPI #1043917727 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1043917727
- Entity Type
- Individual
- Name
- Jorly Thariath
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Feb 13, 2023
Practice Location
- Address
- 1441 S BUSSE RD
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-4701
- Phone
- (224) 400-3770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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