Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINETTA WALLINGFORD, OTR/L
Active Sole ProprietorMINETTA WALLINGFORD, OTR/L is a Occupational Therapist healthcare provider located in RIVERSIDE, Illinois. NPI 1174160634 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · RIVERSIDE, IL
Registration Details
- NPI Number
- 1174160634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2019 (6.6776569664414 yrs)
- Last Updated
- Dec 4, 2019
- License
-
056.003498 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
423 ADDISON RDRIVERSIDE, IL, 605462007Browse IL providers · Browse ZIP 60546
- Phone
- 7737158463
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in RIVERSIDE, IL
| Name | Credential | NPI |
|---|---|---|
| AMY E MOONEY | MS OTRL | 1780708834 |
| JENNIFER LYNN CAMERON | OTR | 1346361292 |
| JOHN BOHARIC | — | 1750850459 |
| MARY GABRIELLA OCALLAGHAN | OTR/L | 1477305423 |
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.