Marcella Theresa Nunez, COTA
Individual provider Active NPI Occupational Therapy Assistant · Riverwoods, IL
NPI 1518458017 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1518458017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057004937 (IL)
- Practice address
- 3705 Deerfield Rd
Riverwoods, IL 60015-3540 - Phone
- (847) 947-9000
- NPI assigned
- May 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 |
|---|---|---|---|
| 057004937 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057004937 | IL | Yes |
Addresses
Primary practice location
3705 Deerfield Rd
Riverwoods, IL 60015-3540
Mailing address
3446 Chicago Rd
Steger, IL 60475-1644
Phone (708) 600-1768
Other providers in Riverwoods, IL
- Cho H Moon
- Carla Hearl Morton
- Lisa Moss
- Motionfit Il Physical Therapy PC
- Neurobehavioral Associates, P.C.
- Occupational Health Centers of Illinois
- Richard W Olsen
- Jackie Olson
- Elzbieta M Pamula
- Satnam K Papa
All providers in Riverwoods, 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 May 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.