Individual
SABRINA MALLORY KAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9777 N GREENWOOD AVE, NILES, IL 60714-1002
(847) 967-7000
Mailing address
4142 CLINTON AVE, STICKNEY, IL 60402-4338
(312) 841-6999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005519
IL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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