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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALORIE DEFORE

Active Sole Proprietor

MALORIE DEFORE is a Occupational Therapist healthcare provider located in MENDOTA, Illinois. NPI 1992390843 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MENDOTA, IL

Registration Details

NPI Number
1992390843
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2021 (5.3071900925897 yrs)
Last Updated
Mar 3, 2021
License
056014108 (IL)
Sole Proprietor
Yes

Practice Information

Address
1205 INDIANA AVE
MENDOTA, IL, 613421650
Browse IL providers · Browse ZIP 61342
Phone
8154141136
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in MENDOTA, IL

Name Credential NPI
PROF. JOSHUA CHASE HUMPHREY O.T.R. 1326239492
ASHLEE HOFF OTR 1891121323
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.