IndividualActive
Mary Miller, COTA/L
NPI 1548412752 · Gerontology Occupational Therapist · Orland Park, IL
Provider details
- NPI number
- 1548412752
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 057-001086 (IL)
Mailing address
7756 Wheeler Dr
Orland Park, IL 60462-5029
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2008-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.