Individual
MARY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 349-6544
Mailing address
3931 W 104TH ST APT 1A, CHICAGO, IL 60655-3723
(708) 349-6544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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