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Organization
PEDIATRIC THERAPY SERVICES OF MACOMB, LLC
Active
Organization
PEDIATRIC THERAPY SERVICES OF MACOMB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNN BAKER OTR/L (OWNER)
(309) 836-3456
Entity
Organization
Contact information
Practice address
130 N SIDE SQ, MACOMB, IL 61455-2214
(309) 836-3456
(309) 836-5678
Mailing address
PO BOX 311, MACOMB, IL 61455-0311
(309) 836-3456
(309) 836-5678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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