Lori Foster
Individual provider Active NPI Occupational Therapy Assistant · Dix, IL
NPI 1598060725 · NPPES record last updated Jan 19, 2011
Key facts
- NPI
- 1598060725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.003324 (IL)
- Practice address
- 208 W Lincoln St
Dix, IL 62830-1469 - Phone
- (773) 227-2343
- NPI assigned
- Jan 19, 2011
- 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 |
|---|---|---|---|
| 057.003324 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.003324 | IL | Yes |
Addresses
Primary practice location
208 W Lincoln St
Dix, IL 62830-1469
Mailing address
208 W Lincoln St
Dix, IL 62830-1469
Other providers in Dix, IL
All providers in Dix, 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 Jan 19, 2011. 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.