Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUZETTE MARIE SHAFER, COTA
Active Sole ProprietorSUZETTE MARIE SHAFER, COTA is a Occupational Therapy Assistant healthcare provider located in DECATUR, Illinois. NPI 1104133099 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DECATUR, IL
Registration Details
- NPI Number
- 1104133099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2010 (15.890364242651 yrs)
- Last Updated
- Sep 13, 2010
- License
-
057-003139 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1790 S. FAIRVIEW AVE.DECATUR, IL, 62521Browse IL providers · Browse ZIP 62521
- Phone
- 2174292551
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER REED | — | 1679507974 |
| MISS TRACY MARIE DANIELS | COTA/L | 1013164029 |
| KRIS BERNARDIN III | — | 1396992723 |
| MRS. MICHELLE LYNN DEHAAI FLETCHER | COTA | 1083862478 |
| MR. JUAN F PARDO | COTA/L | 1447586979 |
| MR. JOSE RIOS BLAS JR. | OTA | 1558697029 |
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.