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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER MARIE RIEDLE, COTA/L

Active Sole Proprietor

MRS. JENNIFER MARIE RIEDLE, COTA/L is a Occupational Therapy Assistant healthcare provider located in MOUNT PULASKI, Illinois. NPI 1073920658 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MOUNT PULASKI, IL

Registration Details

NPI Number
1073920658
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2014 (12.043200760543 yrs)
Last Updated
Jul 16, 2014
License
057.002570 (IL)
Sole Proprietor
Yes

Practice Information

Address
412 1750TH AVE
MOUNT PULASKI, IL, 625486641
Browse IL providers · Browse ZIP 62548
Phone
2178715302
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MOUNT PULASKI, IL

Name Credential NPI
BRITTANY N BURCHI 1073097770
MELISSA ANN MORROW COTA/L 1053974600
MELISSA BEHL COTA/L 1598353344
HANNAH CAPRANICA 1821782186
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.