Individual provider · Type 1 NPI

Mary Theresa Wirth, O.T.R.

Occupational Therapist · Antioch, IL

NPI number 1881601391 Active

Practice location

40640 N Grand Ave
Antioch, IL 60002-8736

Fax (847) 395-9272

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1881601391

Mary Theresa Wirth, O.T.R.'s National Provider Identifier is 1881601391, issued on Aug 1, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Antioch, IL. The record was last updated on Jul 8, 2007.