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Organization
SKILL BUILDERS THERAPY LLC
Active
Organization
SKILL BUILDERS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA LYNNE HOSTETTLER MSOTR/L (MANAGER)
(618) 895-4260
Entity
Organization
Contact information
Practice address
1023 US HIGHWAY 45, FAIRFIELD, IL 62837-2909
(618) 895-4260
(618) 551-8835
Mailing address
1023 US HIGHWAY 45, FAIRFIELD, IL 62837-2909
(618) 895-4260
(618) 551-8835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332727850001
—
IL
Enumeration date
05/26/2017
Last updated
07/21/2022
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