Provider Demographics
NPI:1457555344
Name:BEHAL, ANJU (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:ANJU
Middle Name:
Last Name:BEHAL
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2664 CHARLESTOWNE LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4780
Mailing Address - Country:US
Mailing Address - Phone:630-561-6350
Mailing Address - Fax:630-690-4928
Practice Address - Street 1:831 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-8674
Practice Address - Country:US
Practice Address - Phone:630-681-1234
Practice Address - Fax:630-690-4928
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist