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NPI Code Detail

MEDICARE: MR. WILLIAM C. HELLYER JR. MBA, OTR/L

MEDICARE:  MR. WILLIAM C. HELLYER JR. MBA, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistIL

General Provider Information

NPI Number : 1386745164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM C. HELLYER JR. MBA, OTR/L
Provider Business Mailing Address
First Line : 5002 TELLURIDE CT
Second Line :
City : CALEDONIA
State : IL
Zip : 61011-9006
Country : US
Telephone Number : 815-979-2555
Fax Number :
Provider Business Practice Location Address
First Line : 3475 S ALPINE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61109-2604
Country : US
Telephone Number : 815-874-8000
Fax Number : 815-874-7525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/17/2008

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Directions to “ MR. WILLIAM C. HELLYER JR. MBA, OTR/L” Practice Location

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