KATHLEEN ELLEN PORA

FRANKFORT, IL
NPI1740460575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057000085)
Enumeration Date2007-11-08
Last Update Date2007-11-14
Business Address
Mrs. KATHLEEN ELLEN PORA COTA
931 SHETLAND DR
FRANKFORT, IL 60423-9767
Phone number: 815-469-6732
Mailing Address
Mrs. KATHLEEN ELLEN PORA COTA
931 SHETLAND DR
FRANKFORT, IL 60423-9767
Phone number: 815-469-6732
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