Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK MARCELLO, LMT
Active Sole ProprietorMARK MARCELLO, LMT is a Occupational Therapy Assistant healthcare provider located in CARPENTERSVILLE, Illinois. NPI 1548400179 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CARPENTERSVILLE, IL
Registration Details
- NPI Number
- 1548400179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2009 (17.45439072665 yrs)
- Last Updated
- Mar 2, 2018
- Licenses
-
227.009599 (IL)057.001111 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
143 OLD FARM LNCARPENTERSVILLE, IL, 601101461Browse IL providers · Browse ZIP 60110
- Phone
- 8472245108
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
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.