DEEPIKA MEDAVARAM
Occupational Therapy Assistant
Active
Individual
NPI: 1053567891
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 057001007 (IL) |
Frequently Asked Questions
NPI 1053567891 is the National Provider Identifier for DEEPIKA MEDAVARAM, a Occupational Therapy Assistant provider located in Springfield, IL. This NPI was enumerated on August 12, 2008.
DEEPIKA MEDAVARAM practices at 3400 W WASHINGTON ST, Springfield, IL 62711.
Quick Facts
- NPI
- 1053567891
- Type
- Individual
- Enumerated
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
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