Deepika Medavaram
NPI #1053567891 in Springfield, Illinois
Provider Information
- NPI Number
- 1053567891
- Entity Type
- Individual
- Name
- Deepika Medavaram
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 3400 W WASHINGTON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-7917
- Phone
- (217) 787-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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