Individual
MRS. MEGAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
47W635 BEITH RD, MAPLE PARK, IL 60151-8802
(630) 945-7582
Mailing address
2509 THOROUGHBRED TRL, WOODSTOCK, IL 60098-8472
(815) 880-5122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009616
IL
Other
Enumeration date
01/18/2012
Last updated
12/28/2015
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