SearchIllinois224Z00000X

Traci Kanallakan, COTA

NPI 1700326303 · on the registry since 2017 · sole proprietor

Practice

Address
13480 Waterworks Rd
Fieldon, IL 62031
Phone
(618) 535-3241

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Sex
Female
Record last updated
2017-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois