IndividualActive
Marcie Burton, COTA/L
NPI 1396483756 · Environmental Modification Occupational Therapy Assistant · Dwight, IL
Provider details
- NPI number
- 1396483756
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 057002456 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 E Mazon Ave
Dwight, IL 60420-1104
Phone: (815) 584-1240
Approximate (ZIP-level) locationGet directions
Mailing address
1708 N Aurora St
Pontiac, IL 61764-1201
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.