NPI 1013164029

Tracy Marie Daniels, COTAL

Practitioner Occupational Therapy Assistant Decatur, IL

Practice location

Address: 1790 S Fairview Ave, Decatur, IL 62521-4010
Phone: (217) 429-2551
Fax: (217) 422-6453
Mailing address: 101 E Moultrie St, Bement, IL 61813-1542

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.002225 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1013164029
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2008
Record last updated: 20 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.