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Organization
MOTIVATED OT MAMA PLLC
Active
Organization
MOTIVATED OT MAMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMI GRACE PETERSEN (OWNER/OCCUPATIONAL THERAPIST)
(708) 207-8415
Entity
Organization
Contact information
Practice address
8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
(708) 207-8415
Mailing address
8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
(708) 207-8415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
NULL
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
NULL
225XE1200X
Ergonomics Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XH1300X
Human Factors Occupational Therapist
—
NULL
225XH1300X
Human Factors Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
NULL
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
NULL
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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