Provider Demographics
NPI:1497940993
Name:CATRON, DARA NAOMI (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DARA
Middle Name:NAOMI
Last Name:CATRON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:DARA
Other - Middle Name:NAOMI
Other - Last Name:GRAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:IL
Mailing Address - Zip Code:61877-0297
Mailing Address - Country:US
Mailing Address - Phone:217-688-4851
Mailing Address - Fax:
Practice Address - Street 1:3101 FIELDS SOUTH DR
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-3743
Practice Address - Country:US
Practice Address - Phone:217-366-1323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056005725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist