Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY CONRAD MERRILL, PTA
ActiveMR. CODY CONRAD MERRILL, PTA is a Occupational Therapist healthcare provider located in OREGON, Illinois. NPI 1356042386 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · OREGON, IL
Registration Details
- NPI Number
- 1356042386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2023 (3.3847984805194 yrs)
- Last Updated
- Mar 16, 2023
- License
-
160008092 (IL)
Practice Information
- Address
-
811 S 10TH STOREGON, IL, 610612129Browse IL providers · Browse ZIP 61061
- Phone
- 8157327994
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in OREGON, IL
| Name | Credential | NPI |
|---|---|---|
| LYNN BASTUK | PTA | 1790103810 |
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.