Individual
MS. COLLEEN MARY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
417 N ROCKFORD AVE, ROCKFORD, IL 61107-4548
(815) 399-9249
Mailing address
417 N ROCKFORD AVE, ROCKFORD, IL 61107-4548
(815) 399-9249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008574
IL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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