Individual
MARIAN CELESTE FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
301 PLEASANT DALE RD, KAMPSVILLE, IL 62053-4511
(217) 248-1007
Mailing address
301 PLEASANT DALE RD, KAMPSVILLE, IL 62053-4511
(217) 248-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002725
IL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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