Julie C Ail, OT

Individual provider Active NPI Occupational Therapist · Sikeston, MO

NPI 1083090385 · NPPES record last updated Aug 10, 2015

Key facts

NPI
1083090385
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2015026439 (MO)
Practice address
300 Floyd Dr
Sikeston, MO 63801-3960
Phone
(573) 472-0397
Fax
(573) 472-0409
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015026439MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny Rogers Children'S Center Occupational Therapist Past Accepting new patients
Mercy Clinic Children'S Surgery, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2015026439 MO Yes

Addresses

Primary practice location

300 Floyd Dr
Sikeston, MO 63801-3960

Mailing address

300 Floyd Dr
Sikeston, MO 63801-3960
Phone (573) 472-0397

Other providers in Sikeston, MO

All providers in Sikeston, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.