Individual provider · Type 1 NPI

Lavonne Elise Brock, COTA/L

Occupational Therapy Assistant · Hazel Crest, IL

NPI number 1740562602 Active

Practice location

3206 Woodworth Pl
Hazel Crest, IL 60429-1542

Mailing address

3206 Woodwort H Pl.
Hazelcrest, IL 60429

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057000445 (IL)

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 1740562602

Lavonne Elise Brock, COTA/L's National Provider Identifier is 1740562602, issued on Sep 15, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Sep 15, 2011.