Individual
MELISSA KAY HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003595
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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