Melinda Brown

Individual provider Active NPI Occupational Therapist · Geneseo, IL

NPI 1205190832 · NPPES record last updated Jun 28, 2012

Key facts

NPI
1205190832
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056.008787 (IL)
Practice address
600 N College Ave
Geneseo, IL 61254-1091
Phone
(309) 944-6431
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

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
056.008787ILMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.008787 IL Yes

Addresses

Primary practice location

600 N College Ave
Geneseo, IL 61254-1091

Mailing address

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-6431

Other providers in Geneseo, IL

All providers in Geneseo, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.