Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 070015111 | IL |
NPI | 1154777373 |
---|---|
Provider Name | Tejaswini Savarkar |
First Address | Naperville, IL 60564-9714 |
Second Address | Naperville, IL 60564-9714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2016 |
Last Update Date | 06/05/2016 |