Individual provider · Type 1 NPI

Carla Jo Fenna, OTRL

Occupational Therapist · Poplar Grove, IL

NPI number 1609987395 Active

Practice location

402 Jayde Place
Poplar Grove, IL 61065-8314

Fax (815) 765-2715

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1609987395

Carla Jo Fenna, OTRL's National Provider Identifier is 1609987395, issued on Aug 31, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Poplar Grove, IL. The record was last updated on Jul 8, 2007.