Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADENA WHITESELL, COTA
Active Sole ProprietorMADENA WHITESELL, COTA is a Occupational Therapy Assistant healthcare provider located in MINONK, Illinois. NPI 1700107406 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MINONK, IL
Registration Details
- NPI Number
- 1700107406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2010 (16.125124915635 yrs)
- Last Updated
- Jun 16, 2010
- License
-
057001032 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 LOCUST STMINONK, IL, 617601511Browse IL providers · Browse ZIP 61760
- Phone
- 3094322557
- Fax
- 3094323330
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MINONK, IL
| Name | Credential | NPI |
|---|---|---|
| MISS JORDAN MARIE BAKER | COTA/L | 1942976477 |
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.