Individual provider · Type 1 NPI

Kelcy Irene Suydam, MS

Occupational Therapist · East Peoria, IL

NPI number 1386993830 Active

Practice location

411 E Washington St
East Peoria, IL 61611-2663

Fax (309) 387-2340

Mailing address

507 E Armstrong Ave
Peoria, IL 61603-3201

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056008424 (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 1386993830

Kelcy Irene Suydam, MS's National Provider Identifier is 1386993830, issued on Aug 30, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in East Peoria, IL. The record was last updated on Jul 21, 2022.