SearchIllinois224Z00000X

Brooke Salahuddin, COTA/L

NPI 1649975061 · on the registry since 2023 · sole proprietor

Practice

Address
1212 Dorie Miller Dr
Champaign, IL 61820
Phone
(217) 418-6559

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
2023-04-04

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