Suzanne Marie Hale, COTA
Occupational Therapy Assistant in Peoria, IL. Individual provider (NPI-1).
NPI number1740563154
StatusActive
Last updated in NPPESSep 21, 2011
Details
- NPI
- 1740563154
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Marie Hale
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2011
- Last updated
- Sep 21, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057003464 | IL | Yes |
Practice location
6501 N Sheridan RdPeoria, IL 61614-2932
Phone 309-692-8110
Mailing address
6501 N Sheridan RdPeoria, IL 61614-2932
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Peoria, IL
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All 32 Occupational Therapy Assistant providers in Peoria · All 5,546 providers in Peoria
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