Organization
CHILDREN'S THERAPY SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MICHELE TASSINARI MS, OTR/L (OCCUPATIONAL THERAPIST)
(618) 466-6508
Entity
Organization
Contact information
Practice address
450 COTTONWOOD RD, GLEN CARBON, IL 62034-2772
(618) 977-4683
Mailing address
878 MARC DR, ALTON, IL 62002-4268
(618) 466-6508
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056.006084
IL
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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