Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 056.013882 | IL |
NPI | 1013516301 |
---|---|
Provider Name | Karina Ayrapetyan |
First Address | Cary, IL 60013-2192 |
Second Address | Arlington Heights, IL 60005-1089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2020 |
Last Update Date | 19/10/2020 |