NPI 1154637072

Michael Warner, COTA

Practitioner Occupational Therapy Assistant Decatur, IL

Practice location

Address: 1790 S Fairview Ave, Decatur, IL 62521-4010
Phone: (217) 429-2551
Mailing address: 204 N Main St, Farmer City, IL 61842-1212

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057001557 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1154637072
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2010
Record last updated: 30 Aug 2010

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.