Individual
MALLORY WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015323
IL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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