IndividualActive
Mary Anderson, OTR
NPI 1114068392 · Pediatric Occupational Therapist · Mchenry, IL
Provider details
- NPI number
- 1114068392
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1626 Conway Cir
Mchenry, IL 60050-7305
Phone: (815) 679-6052
Fax: (815) 679-6429
Approximate (ZIP-level) locationGet directions
Mailing address
1626 Conway Cir
Mchenry, IL 60050-7305
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.