Individual
MS. MARY E SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4710 W 95TH ST, OAK LAWN, IL 60453-2453
(708) 422-2960
(708) 422-3001
Mailing address
4710 W 95TH ST, OAK LAWN, IL 60453-2453
(708) 422-2960
(708) 422-3001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012915
IL
Other
Enumeration date
07/21/2020
Last updated
06/23/2021
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