# MODULATION THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1801249891
- **Authorized official:** CHRISTINA MARIE DEANO MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (630) 995-1920

## Contact information

- **Practice address:** 406 BLAINE ST, BATAVIA, IL 60510-2909
- **Practice address phone:** (630) 995-1920
- **Mailing address:** 406 BLAINE ST, BATAVIA, IL 60510-2909
- **Mailing address phone:** (630) 995-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056009768 | IL | Yes |

## Other

- **Enumeration date:** 07/14/2016
- **Last updated:** 07/14/2016