Individual
MRS. MALORY TURNAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
310 W PLAZA DR, CARTERVILLE, IL 62918-1980
(855) 608-3560
(618) 985-1020
Mailing address
11902 KHOURY LEAGUE RD, MARION, IL 62959-6369
(618) 218-1652
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004338
IL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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