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

KAYELENE PAIGE GOODBEAR, COTA/L

Active

KAYELENE PAIGE GOODBEAR, COTA/L is a Occupational Therapy Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1962087775 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SPRINGFIELD, IL

Registration Details

NPI Number
1962087775
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2021 (5.242540010807 yrs)
Last Updated
Mar 12, 2021
License
057005488 (IL)

Practice Information

Address
2508 SAINT JAMES RD
SPRINGFIELD, IL, 627079736
Browse IL providers · Browse ZIP 62707
Phone
2177475901
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SPRINGFIELD, IL

Name Credential NPI
MR. JOSEPH MICHAEL HOUSTON COTAL 1508905084
MRS. HEATHER L LOWARY COTA 1407982572
GAYLA J NICKEL COTA 1649399239
ANGELA MARIE SCHNEIDER C.O.T.A. 1457530396
MISS STEPHANIE LYNN WALL COTA/L 1477718534
TAMARA SUE PRUETZEL COTA/L 1558527622
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.