Individual
MRS. MARGARET RUTH SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-2000
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000715
IL
Other
Enumeration date
02/27/2007
Last updated
10/06/2020
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