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

Individual provider Occupational Therapy Assistant · NPI 1821685686

Kylee Burcham, COTA is an Occupational Therapy Assistant in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1718 Eide Rd
Bloomington, IL 61704-8734
Phone: (217) 565-3899
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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 057.005504 (IL)

Record details

NPI number1821685686
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address1718 Eide Rd, Bloomington, IL 61704-8734

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