Individual provider · Type 1 NPI

Nicole Marie Griner

Occupational Therapy Assistant · Peoria, IL

NPI number 1053956128 Active

Practice location

2601 W Lake Ave Ste A3
Peoria, IL 61615-3754

Call (309) 315-3086 Map

Mailing address

1525 E Main St
Streator, IL 61364-3100

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057001074 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1053956128

Nicole Marie Griner's National Provider Identifier is 1053956128, issued on Nov 13, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 26, 2026.