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Individual

MARY E MOSKWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5099 E 81ST AVE, MERRILLVILLE, IN 46410-5912
(219) 791-0494
Mailing address
625 ENTERPRISE DR., OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000189A
IN

Other

Enumeration date
10/16/2006
Last updated
06/26/2017
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