Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA MARIE MANGELSDORFF, COTA/L
Active Sole ProprietorMS. LISA MARIE MANGELSDORFF, COTA/L is a Occupational Therapy Assistant healthcare provider located in MIDLOTHIAN, Illinois. NPI 1891935136 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MIDLOTHIAN, IL
Registration Details
- NPI Number
- 1891935136
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2009 (17.42252815397 yrs)
- Last Updated
- Feb 26, 2009
- License
-
057-001348 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14520 HAMLIN AVEMIDLOTHIAN, IL, 604452816Browse IL providers · Browse ZIP 60445
- Phone
- 7089259922
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MIDLOTHIAN, IL
| Name | Credential | NPI |
|---|---|---|
| BRIANA ELAN BENITEZ | COTA | 1285094623 |
| MS. STACEY A HUNT | COTA-L | 1629581731 |
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.