CANDACE MALLORY

BARTLETT, IL
NPI1770844037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057000163)
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
-- CANDACE MALLORY COTA/L
349 PINOAK DR
BARTLETT, IL 60103-4439
Phone number: 630-213-0141
Mailing Address
-- CANDACE MALLORY COTA/L
349 PINOAK DR
BARTLETT, IL 60103-4439
Phone number: 630-213-0141
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