Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faith Basolo, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1760835151

Faith Basolo, COTA/L is an Occupational Therapy Assistant in Carterville, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3560
Fax: (618) 956-9349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057003132 (IL)

Record details

NPI number1760835151
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

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