Individual
MARY SUZANNE MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
3630 BETH DR, MORRIS, IL 60450-8627
(815) 942-4275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
56001125
IL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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