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

KOURTNEY CHALKE, COTA/L

Active Sole Proprietor

KOURTNEY CHALKE, COTA/L is a Occupational Therapy Assistant healthcare provider located in CENTRALIA, Illinois. NPI 1407399165 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CENTRALIA, IL

Registration Details

NPI Number
1407399165
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2016 (9.699528781523 yrs)
Last Updated
Nov 29, 2016
License
057.004644 (IL)
Sole Proprietor
Yes

Practice Information

Address
129 N SYCAMORE ST
CENTRALIA, IL, 628013236
Browse IL providers · Browse ZIP 62801
Phone
6183354803
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in CENTRALIA, IL

Name Credential NPI
JANA L MULLINAX COTA/ L 1487947602
MRS. KIMBERLY SALMON COTA/L 1669801916
SHELLY LILLY SLEDGE OTA/L 1548896582
TRACY LANE COTA/L 1235714924
ANGELIA RENEE MILNER 1588249031
LAURA SANDERS 1134904352
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.