Natasha Terwilliger

Individual provider Active NPI Occupational Therapy Assistant · Wyoming, IL

NPI 1649865627 · NPPES record last updated Mar 10, 2021

Key facts

NPI
1649865627
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
057003906 (IL)
Practice address
6412 Township Road 1400 E
Wyoming, IL 61491-9116
Phone
(309) 238-1852
NPI assigned
Mar 2, 2021
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
057003906ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057003906 IL Yes

Addresses

Primary practice location

6412 Township Road 1400 E
Wyoming, IL 61491-9116

Mailing address

6412 Township Road 1400 E
Wyoming, IL 61491-9116
Phone (309) 238-1852

Other providers in Wyoming, IL

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

Sources for this page

Verify at the official NPI Registry.