Individual
MRS. CANDY ANGELICA ROSAL CABURNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
Mailing address
1212 WINANS AVE, APT #6, BOURBONNAIS, IL 60914-1699
(630) 290-0554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008639
IL
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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