Individual
MEGAN THERESE FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19227 JUNIPER LN, MOKENA, IL 60448-8132
(630) 673-6050
Mailing address
1236 TOWN CREST DR APT 7, NEW LENOX, IL 60451-1281
(815) 735-7765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005923
IL
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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