Joan Elizabeth Boska, OTR/L
Individual provider Active NPI Occupational Therapist · Peru, IL
NPI 1689407298 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1689407298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056009904 (IL)
- Practice address
- 1424 Midtown Rd
Peru, IL 61354-1271 - Phone
- (815) 538-1354
- NPI assigned
- Aug 21, 2024
- 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 |
|---|---|---|---|
| 056009904 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056009904 | IL | Yes |
Addresses
Primary practice location
1424 Midtown Rd
Peru, IL 61354-1271
Mailing address
1424 Midtown Rd
Peru, IL 61354-1271
Phone (815) 538-1354
Other providers in Peru, IL
- Angela Benavides
- Alejandro B Bernal
- Sondra L Blocki
- Shyrlena L Bogard
- Amy Lynn Bolelli
- David Bourbonnais
- Nathan Bowers
- David Bernerd Brandner
- Kelsey Janelle Brannan
- Matthew Bruno
All providers in Peru, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. 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.