Mary Needham

NPI #1801461728 in Forest Park, Illinois

Provider Information

NPI Number: 1801461728
Entity Type: Individual
Name: Mary Needham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 833 MARENGO AVE
City: Forest Park
State: Illinois
ZIP Code: 60130-2032
Phone: (708) 602-3986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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