Provider Demographics
NPI:1407246648
Name:HILL, VERONICA LYNN (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CRESTVIEW DR
Mailing Address - Street 2:LOWER LEVEL RM 1
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-9619
Mailing Address - Country:US
Mailing Address - Phone:563-505-4998
Mailing Address - Fax:
Practice Address - Street 1:119 CRESTVIEW DR
Practice Address - Street 2:LOWER LEVEL RM 1
Practice Address - City:ELDRIDGE
Practice Address - State:IA
Practice Address - Zip Code:52748-9619
Practice Address - Country:US
Practice Address - Phone:563-505-4998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008764225X00000X
TNOT0000004834225X00000X
MO2012033227225X00000X
WI5175-26225X00000X
OHOT.007168225X00000X
IN31005545A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist