NPI 1497001648

Maria Ellen Matthews, COTAL

Practitioner Occupational Therapy Assistant Belleville, IL

Practice location

Address: 4700 Memorial Dr, Belleville, IL 62226-5373
Phone: (618) 257-5758

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057002261 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1497001648
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2012
Record last updated: 25 Jul 2012

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.