Organization
TINY SENSES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE D MEYERS OTR/L (MEMBER/OCCUPATIONAL THERAPIST)
(708) 228-0549
Entity
Organization
Contact information
Practice address
135 N PARK RD, LA GRANGE, IL 60525-1854
(708) 228-0549
(708) 482-4525
Mailing address
135 N PARK RD, LA GRANGE, IL 60525-1854
(708) 228-0549
(708) 482-4525
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JM31210399P
EARLY INTERVENTION
IL
Enumeration date
01/17/2008
Last updated
01/17/2008
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