| Mrs Mary Theresa Wirth, OTR | |
|
40640 N Grand Ave, Antioch, IL 60002-8736 | |
| (847) 395-9270 | |
| (847) 395-9272 |
| Full Name | Mrs Mary Theresa Wirth |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 40640 N Grand Ave, Antioch, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881601391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Theresa Wirth, OTR 40640 N Grand Ave, Antioch, IL 60002-8736 Ph: (847) 395-9270 | Mrs Mary Theresa Wirth, OTR 40640 N Grand Ave, Antioch, IL 60002-8736 Ph: (847) 395-9270 |
Edan Leigh Koopman, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1122 Main St, Antioch, IL 60002 Phone: 847-395-0321 Fax: 847-395-0298 | |
Tiffany Stella, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085 | |
Danielle Brose, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085 Fax: 224-788-8121 | |
Kelley Semens, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St, Suite N, Antioch, IL 60002 Phone: 847-838-8085 | |
Megan Szczepanski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085 Fax: 224-788-8121 | |
Valeri Galloway, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St, Suite F, Antioch, IL 60002 Phone: 847-838-8085 | |
Dpt Holdings Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 417 E Il Route 173 Unit 101, Antioch, IL 60002 Phone: 800-974-4378 Fax: 630-515-1536 |