Kealy A Hootman
Occupational Therapist - Physical Rehabilitation
5100 E State St Ste 200
Rockford
, Illinois 61108-2913
Kealy A Hootman
Occupational Therapist - Physical Rehabilitation
5100 E State St Ste 200
Rockford
, Illinois 61108-2913
(815) 637-2900
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Kealy A Hootman
- 5100 E State St Ste 200
- Rockford, IL
- Zip : 61108-2913
- Fax : (815) 637-2900
- Phone : (815) 637-2200
Second Address
- Kealy A Hootman
- 5100 E State St Ste 200
- Rockford, IL
- Zip : 61108-2913
- Fax : (815) 637-2900
- Phone : (815) 637-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 070014723 | IL |
National Provider Identifier
| NPI | 1265765937 |
|---|---|
| Provider Name | Kealy A Hootman |
| First Address | Rockford, IL 61108-2913 |
| Second Address | Rockford, IL 61108-2913 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2009 |
| Last Update Date | 14/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070014723 | LICENSED PHYSICAL THERAPIST (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.