MS. Lisa Marie Mangelsdorff, COTA/L
NPI #1891935136 in Midlothian, Illinois
Provider Information
- NPI Number
- 1891935136
- Entity Type
- Individual
- Name
- MS. Lisa Marie Mangelsdorff, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Feb 26, 2009
- Last Updated
- Feb 26, 2009
Practice Location
- Address
- 14520 HAMLIN AVE
- City
- Midlothian
- State
- Illinois
- ZIP Code
- 60445-2816
- Phone
- (708) 925-9922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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