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NPI Code Detail

MEDICARE: IFRAJ DAARINA WATTS OTR/L, MPH

MEDICARE: IFRAJ DAARINA WATTS OTR/L, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist056.011940IL

General Provider Information

NPI Number : 1366395428
Entity Type Code : Individual
Provider Name (Legal Business Name) : IFRAJ DAARINA WATTS OTR/L, MPH
Provider Business Mailing Address
First Line : 359 DUANE ST
Second Line :
City : GLEN ELLYN
State : IL
Zip : 60137-4373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 WINTHROP AVE
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-1405
Country : US
Telephone Number : 630-545-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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