Individual
MRS. CARLEY ANNE COCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/S
Contact information
Practice address
1095 PINGREE RD STE 209, CRYSTAL LAKE, IL 60014-1727
(847) 458-8890
Mailing address
849 DARTMOOR DR, CRYSTAL LAKE, IL 60014-8836
(847) 513-4783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014738
IL
Other
Enumeration date
02/21/2022
Last updated
06/06/2022
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