SearchIllinoisOccupational Therapy Assistant

Jonathan White, COTA

NPI 1225374366 · on the registry since 2012

Practice

Address
751 E 163rd Pl
South Holland, IL 60473
Phone
(708) 439-0654

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-18

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