Individual
MARJORIE MCNIECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6363 N MILWAUKEE AVE, CHICAGO, IL 60646-3726
(773) 763-0660
Mailing address
6363 N MILWAUKEE AVE, CHICAGO, IL 60646-3726
(773) 763-0660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015977-1
NY
225X00000X
Occupational Therapist
46TR00539200
NJ
Other
Enumeration date
10/24/2013
Last updated
05/12/2017
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