DEEPIKA MEDAVARAM

SPRINGFIELD, IL
NPI1053567891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057001007)
Enumeration Date2008-08-12
Last Update Date2008-08-12
Business Address
-- DEEPIKA MEDAVARAM
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711-7917
Phone number: 217-787-9600
Mailing Address
-- DEEPIKA MEDAVARAM
3621 BRANDONSHIRE DR
SPRINGFIELD, IL 62704-5554
Phone number: 217-793-3185
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