SearchIllinoisOccupational Therapy Assistant

Elicia Stasell, COTA/L

NPI 1134554157 · on the registry since 2013

Practice

Address
6775 Prosperi Drive
Tinley Park, IL 60477
Phone
(708) 478-1414
Organisation at this address
Mira Medical Associates, Pllc
Southwest Community Services, Inc
Southwest Community Services, Inc.
Mira Neuro Behavioral Health Care, Llc
Shore Light Behavioral Health Of Illinois Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois