Mary Jane Kelly COTA

NPI 1689828857 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1689828857
Gender Female
Enumeration Date 11/13/2008
Last Updated 11/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6801 HIGH GROVE BLVD
BURR RIDGE IL, 60527-7585, US
Phone (630) 734-4588
Fax (630) 920-2453
Business Location
6801 HIGH GROVE BLVD
BURR RIDGE IL, 60527-7585, US
Phone (630) 734-4588
Fax (630) 920-2453
Toxanomy
Taxonomy Code 224Z00000X
License State Illinois
License Number 057001875
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According to our database, Ms. Mary Jane Kelly COTA NPI is 1689828857, taxonomy code is 224Z00000X and license number is 057001875, license state is located at Illinois. Mary Jane Kelly COTA physically located at 6801 High Grove Blvd, Burr Ridge IL, 60527-7585. NPI Number Mary Jane Kelly COTA has the Individual type.

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1689828857 NPI number is provided on an as is basis without warranty of any kind. 1689828857 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jane Kelly COTA are for informational purposes only.