Search › Illinois › Occupational Therapy Assistant
Juan Pardo, COTA/L
NPI 1447586979 · on the registry since 2009 · sole proprietor
Practice
- Address
- 444 W Harrison Ave
Decatur, IL 62526 - Phone
- (217) 877-7333
- Fax
- (217) 872-6723
- Organisation at this address
- Heartland Of Decatur Il Llc
Paradox Decatur Operator LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
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
- 2009-10-17
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