Aspen Quadri
Individual provider Active NPI Occupational Therapy Assistant · Walnut, IL
NPI 1275005654 · NPPES record last updated Dec 21, 2018
Key facts
- NPI
- 1275005654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.005086 (IL)
- Practice address
- 308 S 2ND St
Walnut, IL 61376-9364 - Phone
- (815) 379-2131
- NPI assigned
- Dec 21, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 057.005086 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.005086 | IL | Yes |
Addresses
Primary practice location
308 S 2ND St
Walnut, IL 61376-9364
Mailing address
1110 E 37TH St Apt 213
Davenport, IA 52807-1757
Other providers in Walnut, IL
- Heritage Manor - Walnut, LLC
- Dean A Hulsing
- Colton Ronald Johnson
- Julia Rackley Perry Memorial Hospital
- Julia Rackley Perry Memorial Hospital
- Kelly Cotaleen Todd
- Heidi Allison Wilken Wallace
- Walnut Fire Department Inc
- Walnut Fire Protection District
All providers in Walnut, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.