Individual
MEGAN ROSE SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1035 MADISON ST, OAK PARK, IL 60302-4449
(708) 848-7200
Mailing address
2055 N SHEFFIELD AVE APT 2R, CHICAGO, IL 60614-4223
(612) 750-0184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013154
IL
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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