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Organization
MODULATION THERAPY SERVICES LLC
Active
Organization
MODULATION THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE DEANO MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(630) 995-1920
Entity
Organization
Contact information
Practice address
406 BLAINE ST, BATAVIA, IL 60510-2909
(630) 995-1920
Mailing address
406 BLAINE ST, BATAVIA, IL 60510-2909
(630) 995-1920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009768
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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