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1922639954
KENDY R POLLEY
CARBONDALE, IL
NPI
1922639954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004923)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
KENDY R POLLEY COTA/L
1050 N REED STATION RD
CARBONDALE, IL 62902-7376
Phone number: 618-519-9590
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Mailing Address
KENDY R POLLEY COTA/L
101 OLIVIA DR
MARION, IL 62959-1388
Phone number: 618-771-2141
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