KELLY JEAN MANSOURI

GLENVIEW, IL
NPI1477728194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.000587)
Enumeration Date2008-04-23
Last Update Date2023-09-06
Business Address
Mrs. KELLY JEAN MANSOURI COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
Mailing Address
Mrs. KELLY JEAN MANSOURI COTA/L
811 REEF CT
WHEELING, IL 60090-7300
Phone number: 847-459-9755
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