Individual
MRS. EMILY KRISTIN MOGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3616 N MAIN ST, ROCKFORD, IL 61103-2159
(815) 877-5932
(815) 877-6302
Mailing address
7640 FOREST WAY, ROSCOE, IL 61073-8492
(815) 389-9487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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