KARLETTE RAESHAUN FORD

OAK FOREST, IL
NPI1790040665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002017)
Enumeration Date2012-07-06
Last Update Date2012-07-06
Business Address
Miss KARLETTE RAESHAUN FORD COTA
6006 159TH ST
OAK FOREST, IL 60452-2904
Phone number: 708-535-0933
Mailing Address
Miss KARLETTE RAESHAUN FORD COTA
510 HICKOK AVE
UNIVERSITY PARK, IL 60484-3038
Phone number: 708-271-7880
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