Individual provider · Type 1 NPI

Angela Faith Nieukirk, COTA

Specialist · Washington, IL

NPI number 1609026061 Active

Practice location

1201 Newcastle Rd
Washington, IL 61571-1243

Call (309) 444-1065 Map

Mailing address

320 Arnold Rd
East Peoria, IL 61611-2205

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0570011828 (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 1609026061

Angela Faith Nieukirk, COTA's National Provider Identifier is 1609026061, issued on Sep 23, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Washington, IL. The record was last updated on Sep 23, 2008.