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

JESSICA HATHAWAY, COTA/L

Active Sole Proprietor

JESSICA HATHAWAY, COTA/L is a Occupational Therapy Assistant healthcare provider located in HARRISBURG, Illinois. NPI 1417327925 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HARRISBURG, IL

Registration Details

NPI Number
1417327925
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2015 (10.904811112213 yrs)
Last Updated
Sep 28, 2015
License
057004326 (IL)
Sole Proprietor
Yes

Practice Information

Address
1325 W LONGLEY ST
HARRISBURG, IL, 629463267
Browse IL providers · Browse ZIP 62946
Phone
6194992831
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in HARRISBURG, IL

Name Credential NPI
MR. JOSHUA TRAVIS MORRIS COTA/L 1922283183
MR. BILLY G SMITH 1184873317
MS. KELLIE MARIE HEADRICK COTA/L 1538557145
MR. BRETT CASTEEL BA, AAS, COTA/L 1801280987
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.