Organization
THRIVE PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA CAIN (OCCUPATIONAL THERAPY ASSISTANT)
(309) 643-3910
Entity
Organization
Contact information
Practice address
9000 N INDUSTRIAL RD, PEORIA, IL 61615-1512
(309) 643-3910
Mailing address
1201 E SCIOTA AVE, PEORIA HEIGHTS, IL 61616-6349
(309) 643-3910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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