Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | IL | |
N | 225XH1200X | Occupational Therapist - Hand | 1021100586 |
NPI | 1194896050 |
---|---|
Provider Name | Mr. Arun Sharma |
First Address | Orland Park, IL 60467-7112 |
Second Address | Orland Park, IL 60467-7112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |