Healthcare Provider Details

I. General information

NPI: 1962015289
Provider Name (Legal Business Name): MARGARET MARY ROWAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 09/22/2020
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 REMINGTON RD STE K
SCHAUMBURG IL
60173-4800
US

IV. Provider business mailing address

537 N CLARK DR
PALATINE IL
60074-7155
US

V. Phone/Fax

Practice location:
  • Phone: 847-496-5513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.013713
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: