# CHILDREN'S THERAPY SPOT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306078738
- **Authorized official:** LORI MICHELE TASSINARI MS, OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (618) 466-6508

## Contact information

- **Practice address:** 450 COTTONWOOD RD, GLEN CARBON, IL 62034-2772
- **Practice address phone:** (618) 977-4683
- **Mailing address:** 878 MARC DR, ALTON, IL 62002-4268
- **Mailing address phone:** (618) 466-6508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 056.006084 | IL | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 08/18/2009