Organization
FUNCTIONAL LIVING CHILDREN'S THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JADE ALEXA PELLERITO (OWNER/OCCUPATIONAL THERAPIST)
(708) 341-8318
Entity
Organization
Contact information
Practice address
11348 AUTUMN RIDGE DR, ORLAND PARK, IL 60467-1342
(708) 341-8318
Mailing address
11348 AUTUMN RIDGE DR, ORLAND PARK, IL 60467-1342
(708) 341-8318
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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