Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LAVONNE ELISE BROCK, COTA/L
Active Sole ProprietorMISS LAVONNE ELISE BROCK, COTA/L is a Occupational Therapy Assistant healthcare provider located in HAZEL CREST, Illinois. NPI 1740562602 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HAZEL CREST, IL
Registration Details
- NPI Number
- 1740562602
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2011 (14.905313929168 yrs)
- Last Updated
- Sep 15, 2011
- License
-
057000445 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3206 WOODWORTH PLHAZEL CREST, IL, 604291542Browse IL providers · Browse ZIP 60429
- Phone
- 7733870513
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. BETH ANN CLOUD | C.O.T.A./L. | 1891708756 |
| CHANEL RAYBON | — | 1386295863 |
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.