Individual
MARY KATE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12609 S MELVINA AVE, PALOS HEIGHTS, IL 60463-1800
(708) 704-0731
Mailing address
12609 S MELVINA AVE, PALOS HEIGHTS, IL 60463-1800
(708) 704-0731
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010789
IL
Other
Enumeration date
10/20/2014
Last updated
08/09/2021
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