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Organization

MOTIVATED OT MAMA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARMI GRACE PETERSEN (OWNER/OCCUPATIONAL THERAPIST)
(708) 207-8415
Entity
Organization

Contact information

Practice address
8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
(708) 207-8415
Mailing address
8049 BRAEBURN LN, ORLAND PARK, IL 60462-4915
(708) 207-8415

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XE0001X
Environmental Modification Occupational Therapist
225XE1200X
Ergonomics Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XH1300X
Human Factors Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
04/12/2024
Last updated
04/12/2024
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