Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA DEGENNARO, COTA
Active Sole ProprietorLISA DEGENNARO, COTA is a Occupational Therapy Assistant healthcare provider located in ROCKTON, Illinois. NPI 1598990335 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ROCKTON, IL
Registration Details
- NPI Number
- 1598990335
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2009 (17.212927834281 yrs)
- Last Updated
- May 22, 2009
- License
-
057.002490 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11858 RIVER HILLS PKWYROCKTON, IL, 610729432Browse IL providers · Browse ZIP 61072
- Phone
- 8155438972
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.