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Organization
A PEDIATRIC OCCUPATIONAL THERAPY INC.
Active
Organization
A PEDIATRIC OCCUPATIONAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GASSIRARO (PRESIDENT)
(618) 531-5353
Entity
Organization
Contact information
Practice address
1303 GERBER WOODS DR, EDWARDSVILLE, IL 62025-3102
(618) 531-5353
Mailing address
1303 GERBER WOODS DR, EDWARDSVILLE, IL 62025-3102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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