Individual
MRS. MEGAN LYNN MUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 BROOK FOREST AVE, UNIT L, SHOREWOOD, IL 60404
(312) 943-3600
Mailing address
850 BROOK FOREST AVE, UNIT M, SHOREWOOD, IL 60404
(815) 730-1800
(815) 730-1835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057002970
IL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
12/08/2014
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