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1730190703
BARBARA KELLOGG
SHOREWOOD, IL
NPI
1730190703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 57001435)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
BARBARA KELLOGG COTA/L
857 CENTER CT UNIT D
SHOREWOOD, IL 60431-8520
Phone number: 815-730-1818
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Mailing Address
BARBARA KELLOGG COTA/L
15249 LAWNDALE AVE
MIDLOTHIAN, IL 60445-3763
Phone number: 708-389-2124
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