Individual provider · Type 1 NPI

Mario Antley Kassa, OTR/L

Student in an Organized Health Care Education/Training Program · Aurora, IL

NPI number 1689488744 Active

Practice location

3200 Bremerton Ln
Aurora, IL 60504-7263

Call (630) 999-0175 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X22860 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689488744

Mario Antley Kassa, OTR/L's National Provider Identifier is 1689488744, issued on Feb 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, IL. The record was last updated on Feb 24, 2025.