# FUNCTIONAL THERAPLAY INC.

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

## Provider details

- **NPI number:** 1821877267
- **Authorized official:** RACHAEL MARIE NICK OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (847) 802-0664

## Contact information

- **Practice address:** 2125 FAIRFIELD RD, LINDENHURST, IL 60046-9232
- **Practice address phone:** (847) 802-0664
- **Mailing address:** 2125 FAIRFIELD RD, LINDENHURST, IL 60046-9232
- **Mailing address phone:** (847) 802-0664

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 09/25/2023