Individual
HANNAH JOSEPHINE MALLETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7330
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012573
IL
225X00000X
Occupational Therapist
2018026618
MO
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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