SearchIllinois224Z00000X

Candace Mallory, COTA/L

NPI 1770844037 · on the registry since 2012 · sole proprietor

Practice

Address
349 Pinoak Dr
Bartlett, IL 60103
Phone
(630) 213-0141

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-04

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