Individual
MS. MARY R BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., O.T.R.
Contact information
Practice address
23527 N EAST RD, LAKE ZURICH, IL 60047-8816
(847) 438-0993
(847) 438-1234
Mailing address
23527 N EAST RD, LAKE ZURICH, IL 60047-8816
(847) 438-0993
(847) 438-1234
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
056005720
IL
Other
Enumeration date
06/11/2007
Last updated
06/28/2012
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