MRS. Mary Theresa Wirth, O.T.R.

NPI #1881601391 in Antioch, Illinois

Provider Information

NPI Number: 1881601391
Entity Type: Individual
Name: MRS. Mary Theresa Wirth, O.T.R.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: O.T.R.
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40640 N GRAND AVE
City: Antioch
State: Illinois
ZIP Code: 60002-8736
Phone: (847) 395-9270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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