Individual
DONNA MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6729 N KILPATRICK AVE, LINCOLNWOOD, IL 60712-3309
(773) 263-6981
Mailing address
12822 S PONDEROSA DR, PALOS HEIGHTS, IL 60463-1934
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
057003576
IL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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