Organization
LIFE SKILLS OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN LAURIA NELSON O.T. (OWNER AND SOLE MEMBER)
(331) 305-3332
Entity
Organization
Contact information
Practice address
919 MORTONSBERRY DR, NAPERVILLE, IL 60540-0364
(331) 305-3332
(331) 215-4711
Mailing address
919 MORTONSBERRY DR, NAPERVILLE, IL 60540-0364
(331) 305-3332
(331) 215-4711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007182
IL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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