Individual
KELLY PATRICIA DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8707 SKOKIE BLVD, SKOKIE, IL 60077-2269
(847) 877-5210
Mailing address
3835 N JANSSEN AVE APT 1B, CHICAGO, IL 60613-2837
(630) 687-0779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012625
IL
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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