Individual
MEGHAN LA MARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-4470
Mailing address
6033 BRIAR PATCH LN, LOVES PARK, IL 61111-3449
(815) 520-5243
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.014748
IL
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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