Individual provider · Type 1 NPI

Vanessa Mathai, COTA

Specialist · Chicago, IL

NPI number 1417357112 Active

Practice location

2801 S Lawndale Ave
Chicago, IL 60623-4547

Call (773) 456-7551 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X057.004083 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417357112

Vanessa Mathai, COTA's National Provider Identifier is 1417357112, issued on Aug 29, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Aug 29, 2014.