Mary A Meismer
Occupational Therapist Occupational Therapist - Hand
1111 Trinity Ln Suite 111
Bloomington
, Illinois 61704-8111
Mary A Meismer
Occupational Therapist Occupational Therapist - Hand
1111 Trinity Ln Suite 111
Bloomington
, Illinois 61704-8111
(309) 661-8107
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mary A Meismer
- 1111 Trinity Ln Suite 111
- Bloomington, IL
- Zip : 61704-8111
- Fax : (309) 661-8107
- Phone : (309) 663-6461
Second Address
- Mary A Meismer
- 1111 Trinity Ln Suite 111
- Bloomington, IL
- Zip : 61704-8111
- Fax : (309) 661-8107
- Phone : (309) 663-6461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 056000370 | IL |
| Y | 225XH1200X | Occupational Therapist - Hand | 056000370 | IL |
National Provider Identifier
| NPI | 1174531370 |
|---|---|
| Provider Name | Mary A Meismer |
| First Address | Bloomington, IL 61704-8111 |
| Second Address | Bloomington, IL 61704-8111 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 04/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056.000370 | STATE LICENSE (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.