Individual provider · Type 1 NPI

Regina Gardner, COTA/L

Occupational Therapy Assistant · Glenview, IL

NPI number 1811149107 Active

Practice location

3703 West Lake Ave.
Glenview, IL 60026-1223

Call (847) 998-1188 Map

Mailing address

14815 Edbrooke Ave.
Dolton, IL 60419

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002636 (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 1811149107

Regina Gardner, COTA/L's National Provider Identifier is 1811149107, issued on Oct 17, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Glenview, IL. The record was last updated on Oct 17, 2008.