Individual
MALGORZATA HELENA MALESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 N SEMINARY AVE, WOODSTOCK, IL 60098-2996
(815) 338-1749
Mailing address
20655 ELA RD, DEER PARK, IL 60010-3509
(847) 606-8011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005986
IL
Other
Enumeration date
05/01/2013
Last updated
10/23/2020
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