Karen Seals, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Noble, IL

NPI 1225576325 · NPPES record last updated Feb 8, 2017

Key facts

NPI
1225576325
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
056005660 (IL)
Practice address
2400 N Wakefield Rd
Noble, IL 62868-2553
Phone
(618) 838-2234
NPI assigned
Feb 8, 2017
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
056005660ILMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056005660 IL Yes

Addresses

Primary practice location

2400 N Wakefield Rd
Noble, IL 62868-2553

Mailing address

2400 N Wakefield Rd
Noble, IL 62868-2553
Phone (618) 838-2234

Other providers in Noble, IL

All providers in Noble, IL · Pediatric Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.