Individual
MARY K MCGARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2408
(618) 899-2400
Mailing address
16419 COUNTY ROAD 200 E, DAHLGREN, IL 62828-4247
(618) 316-1611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003502
IL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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