NPI 1134554157

Elicia Marie Stasell, COTAL

Practitioner Occupational Therapy Assistant Tinley Park, IL

Practice location

Address: 6775 Prosperi Drive, Tinley Park, IL 60477
Phone: (708) 478-1414
Mailing address: 783 State Route 18 E, Streator, IL 61364

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.003888 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1134554157
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2013
Record last updated: 10 Sep 2013

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.