Mary Needham
Mary Needham is an Occupational Therapist in Forest Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
833 Marengo AveForest Park, IL 60130-2032
Phone: (708) 602-3986
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056.013952 (IL) |
|---|
Record details
| NPI number | 1801461728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certification date | May 24, 2021 |
| Mailing address | 833 Marengo Ave, Forest Park, IL 60130-2032 |
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