Candace Mallory, COTA/L

NPI #1770844037 in Bartlett, Illinois

Provider Information

NPI Number
1770844037
Entity Type
Individual
Name
Candace Mallory, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jun 4, 2012
Last Updated
Jun 4, 2012

Practice Location

Address
349 PINOAK DR
ZIP Code
60103-4439
Phone
(630) 213-0141

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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