Individual provider · Type 1 NPI

Tavae Lewis I

Occupational Therapist · Benton, IL

NPI number 1801791983 Active

Practice location

1305 Bailey Ln
Benton, IL 62812-2860

Call (618) 439-9431 Map

Mailing address

628 E Haney Rd
Carbondale, IL 62901-0776

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.027412 (IL)

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 1801791983

Tavae Lewis I's National Provider Identifier is 1801791983, issued on Oct 9, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Benton, IL. The record was last updated on Oct 9, 2026.