Malorie Defore

NPI #1992390843 in Mendota, Illinois

Provider Information

NPI Number: 1992390843
Entity Type: Individual
Name: Malorie Defore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 3, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 1205 INDIANA AVE
City: Mendota
State: Illinois
ZIP Code: 61342-1650
Phone: (815) 414-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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