Salena Virginia Hernandez

Individual provider Active NPI Occupational Therapy Assistant · Cary, IL

NPI 1316570591 · NPPES record last updated Feb 17, 2020

Key facts

NPI
1316570591
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
057005090 (IL)
Practice address
1055 Silver Lake Rd
Cary, IL 60013-3432
Phone
(847) 516-6016
NPI assigned
Feb 17, 2020
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
057005090ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057005090 IL Yes

Addresses

Primary practice location

1055 Silver Lake Rd
Cary, IL 60013-3432

Mailing address

4016 Stratford LN
Carpentersville, IL 60110-3414

Other providers in Cary, IL

All providers in Cary, IL · Occupational Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.