Individual provider · Type 1 NPI

Wilson Kibungei Malit, OTR/L

Contractor · Springfield, IL

NPI number 1154663045 Active

Practice location

555 W Carpenter St
Springfield, IL 62702-4905

Mailing address

605 Kenyon Dr
Springfield, IL 62704-1412

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X056003593 (IL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1154663045

Wilson Kibungei Malit, OTR/L's National Provider Identifier is 1154663045, issued on Mar 19, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Springfield, IL. The record was last updated on Mar 19, 2013.