IndividualActive
Miranda Devito, OTR/L
NPI 1629969019 · Physical Rehabilitation Occupational Therapist · Hazel Crest, IL
Provider details
- NPI number
- 1629969019
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056016002 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (708) 213-3825
Approximate (ZIP-level) locationGet directions
Mailing address
1027 Coyote Trl
New Lenox, IL 60451-3142
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-07-14
- Certified
- 2025-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.