Individual
PAMELA MACK-RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 WILLIAM LN, SWANSEA, IL 62226-2434
(630) 853-0139
Mailing address
1533 WILLIAM LN, SWANSEA, IL 62226-2434
(630) 853-0139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003214
IL
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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