MRS. Sreeletha Suseela Amma Kadavil

NPI #1104442912 in Mount Prospect, Illinois

Provider Information

NPI Number: 1104442912
Entity Type: Individual
Name: MRS. Sreeletha Suseela Amma Kadavil
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 18, 2020
Last Updated: Jun 18, 2020

Practice Location

Address: 12 N ALBERT ST
City: Mount Prospect
State: Illinois
ZIP Code: 60056-2551
Phone: (352) 484-5661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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