# MOTIVATED OT MAMA PLLC

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

## Provider details

- **NPI number:** 1427802941
- **Authorized official:** ARMI GRACE PETERSEN (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (708) 207-8415

## Contact information

- **Practice address:** 8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
- **Practice address phone:** (708) 207-8415
- **Mailing address:** 8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
- **Mailing address phone:** (708) 207-8415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 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