KELLY ALAN WHITE

DOWNERS GROVE, IL
NPI1023343092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.000794)
Enumeration Date2009-10-08
Last Update Date2009-10-08
Business Address
Mr. KELLY ALAN WHITE COTA/L
4334 WASHINGTON ST
DOWNERS GROVE, IL 60515-2837
Phone number: 630-971-0815
Mailing Address
Mr. KELLY ALAN WHITE COTA/L
4334 WASHINGTON ST
DOWNERS GROVE, IL 60515-2837
Phone number: 630-971-0815
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