SearchIllinoisOccupational Therapy Assistant

Daniel Breeden, COTA/L

NPI 1245816008 · on the registry since 2021 · sole proprietor

Practice

Address
601 Lutz Rd
Bloomington, IL 61704
Phone
(309) 557-8000
Organisation at this address
Luther Oaks Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

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
2021-03-22

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