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

KEESHA HARRIS, COTA

Active Sole Proprietor

KEESHA HARRIS, COTA is a Occupational Therapy Assistant healthcare provider located in PARK FOREST, Illinois. NPI 1639890460 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PARK FOREST, IL

Registration Details

NPI Number
1639890460
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2022 (3.8915200260968 yrs)
Last Updated
Sep 9, 2022
License
057004657 (IL)
Sole Proprietor
Yes

Practice Information

Address
243 INDIANA ST
PARK FOREST, IL, 604661164
Browse IL providers · Browse ZIP 60466
Phone
7082612044
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PARK FOREST, IL

Name Credential NPI
MISS LAVETTA MARIE BROWN COTA 1700216298
LATOYA GILES-SHAW COTA 1538712963
CAROLANDA TIFFANY ROLLINS COTA 1033080510
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.