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

SHANA B BERTELS, COTA

Active

SHANA B BERTELS, COTA is a Occupational Therapy Assistant healthcare provider located in SHIPMAN, Illinois. NPI 1700143898 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SHIPMAN, IL

Registration Details

NPI Number
1700143898
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2012 (14.301117681488 yrs)
Last Updated
Apr 13, 2012
License
057002709 (IL)

Practice Information

Address
10354 PRAIRIE DELL RD
SHIPMAN, IL, 626856105
Browse IL providers · Browse ZIP 62685
Phone
6188367442
Fax
6188365487
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.