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MS. DANA DEANNE FORTADO OTR/L

Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437235041

Individual Registrant:
MS. DANA DEANNE FORTADO OTR/L
Gender: F
Sole Proprietor

Location and contact information for practice:
7350 LAKE ST G RIVER FOREST, IL 60305-2247 US
Tel: 708-828-0221  Fax: 708-216-6534

Contact information for business:
7350 LAKE ST G RIVER FOREST, IL 60305-2247 US
Tel: 708-828-0221  Fax: 708-216-6534

Registration Information:
NPI: 1437235041
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Pediatrics
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD0001635382IL01




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