Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY DANIELLE RANDALL, COTA
ActiveBETHANY DANIELLE RANDALL, COTA is a Occupational Therapy Assistant healthcare provider located in JACKSONVILLE, Illinois. NPI 1114651452 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1114651452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2022 (4.0493124829402 yrs)
- Last Updated
- Jul 12, 2022
- License
-
057.005812 (IL)
Practice Information
- Address
-
873 GROVE STJACKSONVILLE, IL, 626502828Browse IL providers · Browse ZIP 62650
- Phone
- 2174793400
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| SHAWNA STRIPLIN | — | 1699182261 |
| SAMANTHA BLIMLING | COTA/L | 1851869929 |
| STEPHANIE LEE MABUS | — | 1134768708 |
| MICHAEL SCOTT SLINKARD | COTA/L | 1184249344 |
| CHELSEA MARIE SUTTLES | COTA/L | 1114689916 |
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.