Christine Gliwa
Individual provider Active NPI Occupational Therapy Assistant · Dwight, IL
NPI 1801205653 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1801205653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057000172 (IL)
- Practice address
- 110 Karen Dr
Dwight, IL 60420-1600 - Phone
- (815) 584-4324
- NPI assigned
- Aug 6, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 057000172 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057000172 | IL | Yes |
Addresses
Primary practice location
110 Karen Dr
Dwight, IL 60420-1600
Mailing address
110 Karen Dr
Dwight, IL 60420-1600
Phone (815) 584-4324
Other providers in Dwight, IL
- Rebeccah Edwin
- Bradford R Egly
- Julie Erschen Saylor
- Family Medical Clinic of Livingston County SC
- Rodney Clell Gladson
- Matthew J Govednik
- Sarah Gunderson
- Heritage Manor - Dwight, LLC
- Heritage Manor Dwight, LLC
- Heritage Woods of Dwight, LLC
All providers in Dwight, 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 Aug 6, 2014. 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.