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Andrew Dorgan, OTR/L

Occupational Therapist in Northbrook, IL. Individual provider (NPI-1).

NPI number1982191243
StatusActive
Last updated in NPPESApr 26, 2019

Details

NPI
1982191243
Entity type
Individual (NPI-1)
Name
Andrew Dorgan
Credential
OTR/L
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 21, 2018
Last updated
Apr 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056.011248ILYes

Practice location

2155 Pfingsten Rd
Northbrook, IL 60062-6427

Phone 847-480-6350

Mailing address

2155 Pfingsten Rd
Northbrook, IL 60062-6427

Phone 847-480-6350

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