Organization
PEDIATRIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY ROAT OTR (OWNER)
(630) 548-2520
Entity
Organization
Contact information
Practice address
236 WESTBROOK CIR, NAPERVILLE, IL 60565-3269
(630) 548-2520
(630) 548-2512
Mailing address
236 WESTBROOK CIR, NAPERVILLE, IL 60565-3269
(630) 548-2520
(630) 548-2512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
225100000X
Physical Therapist
—
IL
225X00000X
Occupational Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19
OCCUPATIONAL THERAPY
IL
Enumeration date
01/09/2007
Last updated
09/11/2025
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