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

Individual provider Occupational Therapy Assistant · NPI 1417327925

Jessica Hathaway, COTA/L is an Occupational Therapy Assistant in Harrisburg, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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

1325 W Longley St
Harrisburg, IL 62946-3267
Phone: (619) 499-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057004326 (IL)

Record details

NPI number1417327925
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedSeptember 28, 2015
Last updated in NPPESSeptember 28, 2015

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