Jennifer Dooley
Individual provider Active NPI Occupational Therapy Assistant · Clinton, IL
NPI 1770036840 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1770036840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1 Park LN W
Clinton, IL 61727-2637 - Phone
- (217) 935-8500
- NPI assigned
- Jul 25, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
1 Park LN W
Clinton, IL 61727-2637
Mailing address
4560 SE International Way
Suite 100
Milwaukie, OR 97222-4628
Other providers in Clinton, IL
- Cheryl Dement
- Dewitt County Human Resource Center
- Dewitt County Human Resource Center
- Dewitt County Human Resource Center
- Dewitt-Piatt Bi-County Health Department
- Dr John Warner Hospital
- Sara Jane Duffy
- England & Degrauwe PC
- Terry Grant England
- Fair Winds Direct Care, PLLC
All providers in Clinton, 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 Jul 25, 2016. 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.