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

Individual provider Occupational Therapy Assistant · NPI 1013164029

Miss. Tracy Marie Daniels, COTA/L is an Occupational Therapy Assistant in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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

1790 S Fairview Ave
Decatur, IL 62521-4010
Phone: (217) 429-2551
Fax: (217) 422-6453
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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 057.002225 (IL)

Record details

NPI number1013164029
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 20, 2008
Last updated in NPPESAugust 20, 2008

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