SearchIllinois224Z00000X

Angela Koester, COTA/L

NPI 1437600897 · on the registry since 2016 · sole proprietor

Practice

Address
5250 N 100th St
Dieterich, IL 62424
Phone
(217) 994-4977

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-20

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