Individual
MR. PRISCILLA ANN CALCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 862-5500
Mailing address
5122 THOMAS DR, RICHTON PARK, IL 60471-1640
(708) 481-9627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002806
IL
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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