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Organization

PEDIATRIC THERAPY PLAYHOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORI WARREN MOT, OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(618) 973-1509
Entity
Organization

Contact information

Practice address
1029 ANDRA DR, MARYVILLE, IL 62062-5754
(618) 973-1509
Mailing address
1029 ANDRA DR, MARYVILLE, IL 62062-5754

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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