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

DR. MINDY A BIRKNER, OTD,OTR/L

Active Sole Proprietor

DR. MINDY A BIRKNER, OTD,OTR/L is a Pediatric Occupational Therapist healthcare provider located in CARLYLE, Illinois. NPI 1407958010 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · CARLYLE, IL

Registration Details

NPI Number
1407958010
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2006 (19.904433657549 yrs)
Last Updated
Sep 23, 2008
License
056007264 (IL)
Sole Proprietor
Yes

Practice Information

Address
21921 DOVE LN
CARLYLE, IL, 622314717
Browse IL providers · Browse ZIP 62231
Phone
6189716979
Fax
6187492041
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
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.