Individual
MRS. MELANIE KENDAL-WARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3932 HOWARD AVE, WESTERN SPRINGS, IL 60558-1212
(708) 246-8986
Mailing address
3932 HOWARD AVE, WESTERN SPRINGS, IL 60558-1212
(708) 246-8986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-000307
IL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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