FARIDA K TAVAWALA

GLEN ELLYN, IL
NPI1962740530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.009971)
Enumeration Date2013-01-16
Last Update Date2013-01-16
Business Address
-- FARIDA K TAVAWALA
470 FAWELL BLVD APT 511
GLEN ELLYN, IL 60137-6796
Phone number: 201-743-9677
Mailing Address
-- FARIDA K TAVAWALA
470 FAWELL BLVD APT 511
GLEN ELLYN, IL 60137-6796
Phone number: 201-743-9677