Most Relevant Information
Provider Data
| NPI Number: | 1003421777 |
| Provider Name: | SAVANNA IVILL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 09075 |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
6451 N CHARLES ST
BALTIMORE
MD
212121010
Practice Location Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |