Individual
HAILEY R. CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 391-6405
(618) 288-4088
Mailing address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 391-6405
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010081
IL
Other
Enumeration date
04/26/2013
Last updated
11/25/2014
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