| Malorie Defore, | |
|
1205 Indiana Ave, Mendota, IL 61342-1650 | |
| (815) 414-1136 | |
| Not Available |
| Full Name | Malorie Defore |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1205 Indiana Ave, Mendota, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992390843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056014108 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Malorie Defore, 1205 Indiana Ave, Mendota, IL 61342-1650 Ph: Not Available | Malorie Defore, 1205 Indiana Ave, Mendota, IL 61342-1650 Ph: (815) 414-1136 |
Prof. Joshua Chase Humphrey, O.T.R. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 1st Ave, Mendota, IL 61342 Phone: 815-539-6745 |
Ashlee Hoff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St, Mendota, IL 61342 Phone: 815-539-1409 |