Individual
CASSANDRA SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6006 159TH ST, OAK FOREST, IL 60452-2904
(708) 535-0755
Mailing address
3807 VILLAGE DR, HAZEL CREST, IL 60429-2445
(708) 206-1101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000485
IL
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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