Mary Theresa Wirth in Antioch - Occupational Therapist
Mary Theresa Wirth - NPI 1881601391
Mary Theresa Wirth is a Occupational Therapist in Antioch, Illinois. Mary Theresa Wirth practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary Theresa Wirth is 1881601391. The last update date is 2007-07-08.
Mary Theresa Wirth's current location address is 40640 N Grand Ave, Antioch, Illinois. You can contact this provider via phone number 8473959270 and fax number 8473959272. The mailing address for Mary Theresa Wirth is 40640 N Grand Ave, Antioch, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Theresa Wirth |
|---|---|
| Address | 40640 N Grand Ave, Antioch, Illinois |
| Phone Number | 8473959270 |
| Fax Number | 8473959272 |
| Sole Proprietor | Y |
| Credentials | O.T.R. |
NPI Number Detail
| NPI Number | 1881601391 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40640 N Grand Ave |
|---|---|
| City | Antioch |
| State | Illinois (IL) |
| Post Code | 600028736 |
| Phone Number | 8473959270 |
| Fax Number | 8473959272 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
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Definition: 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 Federat |
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What is the unique 10-digit identification code issued to Mary Theresa Wirth by the Centers for Medicare & Medicaid Services?
The Mary Theresa Wirth has been assigned the NPI (National Provider Identifier) 1881601391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary Theresa Wirth?
The Mary Theresa Wirth is situated at 40640 N Grand Ave, in the city of Antioch, state of IL, with the zip code 600028736.
What is Mary Theresa Wirth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Theresa Wirth is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did Mary Theresa Wirth receive its 1881601391 assignment from the Centers for Medicare & Medicaid Services?
The Mary Theresa Wirth was assigned its 1881601391 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Theresa Wirth last refreshed?
The information related to the Mary Theresa Wirth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.