Belinda Sanchez, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Homer Glen, IL

NPI 1134748809 · NPPES record last updated Apr 13, 2020

Key facts

NPI
1134748809
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
057.005383 (IL)
Practice address
15930 S Crystal Creek Dr
Homer Glen, IL 60491-9203
Phone
(708) 388-6744
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

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
057.005383ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.005383 IL Yes

Addresses

Primary practice location

15930 S Crystal Creek Dr
Homer Glen, IL 60491-9203

Mailing address

15930 S Crystal Creek Dr
Homer Glen, IL 60491-9203
Phone (708) 388-6744

Other providers in Homer Glen, IL

All providers in Homer Glen, IL · Occupational Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.