Individual
LORRAINE ROLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MARYKNOLL TER, MATTAPAN, MA 02126-2829
(309) 669-7102
Mailing address
2 MARYKNOLL TER, MATTAPAN, MA 02126-2829
(309) 669-7102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002819
IL
Other
Enumeration date
09/26/2008
Last updated
09/29/2011
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