Individual
MELODY MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 W RANDOLPH ST, CHICAGO, IL 60607-1405
(312) 773-0883
Mailing address
1436 W RANDOLPH ST, CHICAGO, IL 60607-1405
(312) 773-0883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010281
IL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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