Isabella N Doll, COTA

Individual provider Active NPI Occupational Therapy Assistant · Hawk Point, MO

NPI 1285316539 · NPPES record last updated Aug 7, 2023

Key facts

NPI
1285316539
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2023026618 (MO)
Practice address
105 Prairie Rd
Hawk Point, MO 63349-2010
Phone
(636) 358-9527
NPI assigned
Aug 7, 2023
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
2023026618MOMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2023026618 MO Yes

Addresses

Primary practice location

105 Prairie Rd
Hawk Point, MO 63349-2010

Mailing address

105 Prairie Rd
Hawk Point, MO 63349-2010
Phone (636) 358-9527

Other providers in Hawk Point, MO

All providers in Hawk Point, MO · Occupational Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.