Individual
MS. MARY SARITHA RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
102 S MULBERRY AVE, MOUNT MORRIS, IL 61054-1365
(815) 483-3068
Mailing address
102 S MULBERRY AVE, MOUNT MORRIS, IL 61054-1365
(815) 483-3068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007787
IL
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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