# INTUITIVE BODY THERAPEUTICS, INC.

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

## Provider details

- **NPI number:** 1982122446
- **Authorized official:** CHRISTINA SEROCKE MOT, OTR/L, CEAS (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (708) 714-1911

## Contact information

- **Practice address:** 8257 W MAPLE AVE, NORRIDGE, IL 60706-4329
- **Practice address phone:** (708) 714-1911
- **Mailing address:** 8257 W MAPLE AVE, NORRIDGE, IL 60706-4329
- **Mailing address phone:** (708) 714-1911

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 09/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215289814 | PERSONAL | IL |
