Organization
SENSATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELLEN MALONEY MS, OTR/L (OCCUPATIONAL THERAPIST)
(708) 945-8972
Entity
Organization
Contact information
Practice address
13 ELDER LN, LA GRANGE, IL 60525-5819
(708) 945-8972
Mailing address
13 ELDER LN, LA GRANGE, IL 60525-5819
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
056.006818
IL
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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