Individual provider · Type 1 NPI
Kelly Supataraporn
Occupational Therapist · Bolingbrook, IL
Practice location
388 Twin Creeks Dr
Bolingbrook, IL 60440-1070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 056.009273 (IL) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1083982078
Kelly Supataraporn's National Provider Identifier is 1083982078, issued on Dec 6, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Dec 6, 2011.