Individual
MCKENNA MARLENE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
887 E WILMETTE RD., SUITE B, PALATINE, IL 60074-6495
(847) 907-9227
Mailing address
515 COLONIAL CT., ALGONQUIN, IL 60102
(857) 890-8240
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.016326
IL
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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