Brittney Helen Walkington, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Brighton, IL

NPI 1669030243 · NPPES record last updated May 30, 2019

Key facts

NPI
1669030243
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
057005199 (IL)
Practice address
116 E Plum St
Brighton, IL 62012-1172
Phone
(618) 946-9139
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

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
057005199ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 057005199 IL Yes

Addresses

Primary practice location

116 E Plum St
Brighton, IL 62012-1172

Mailing address

116 E Plum St
Brighton, IL 62012-1172
Phone (618) 946-9139

Other identifiers

IdentifierTypeStateIssuer
971252204OtherILUNITED HEALTHCARE CHOICE PLUS

Other providers in Brighton, IL

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

Sources for this page

Verify at the official NPI Registry.