ELLEN M MARQUA

ROCKFORD, IL
NPI1639375728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.006279)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
Ms. ELLEN M MARQUA OT
3108 RURAL ST
ROCKFORD, IL 61107-3461
Phone number: 815-229-6315
Mailing Address
Ms. ELLEN M MARQUA OT
3108 RURAL ST
ROCKFORD, IL 61107-3461
Phone number: 815-229-6315