Farida K Tavawala

NPI #1962740530 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1962740530
Entity Type: Individual
Name: Farida K Tavawala
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 16, 2013
Last Updated: Jan 16, 2013

Practice Location

Address: 470 FAWELL BLVD
Address 2: APT 511
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-6796
Phone: (201) 743-9677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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