Organization
OT PLAYWORKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA LYNNE HOSTETTLER MSOTR/L (OWNER/THERAPIST)
(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
252Y00000X
Early Intervention Provider Agency
Primary
056008112
IL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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