Individual
KRISTIN NICOLE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14257 W MELBOURNE PL, LOCKPORT, IL 60441-6025
(708) 829-2243
Mailing address
14257 W MELBOURNE, LOCKPORT, IL 60441
(708) 829-2243
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.006868
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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