Individual
MARY KRISTINA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1626 CONWAY CIR, MCHENRY, IL 60050-7305
(815) 679-6052
(815) 679-6429
Mailing address
1626 CONWAY CIR, MCHENRY, IL 60050-7305
(815) 679-6052
(815) 679-6429
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/09/2007
Last updated
03/14/2008
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