Individual provider · Type 1 NPI

Kellie Marie Headrick, COTA/L

Occupational Therapy Assistant · Harrisburg, IL

NPI number 1538557145 Active

Practice location

924 S Commercial St
Harrisburg, IL 62946-2637

Call (618) 252-7171 Map

Fax (618) 252-7272

Mailing address

401 W Walnut St
Carrier Mills, IL 62917-1181

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057004130 (IL)
Occupational Therapy Assistant 224Z00000XBOTOTA00210165 (KY)

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 1538557145

Kellie Marie Headrick, COTA/L's National Provider Identifier is 1538557145, issued on Jan 5, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Harrisburg, IL. The record was last updated on Jan 5, 2015.