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Organization

OPTIMUM CHILDREN'S THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA HOLLIE BCBA (CEO, BCBA)
(319) 325-0843
Entity
Organization

Contact information

Practice address
9333 S HARLEM AVE APT 4B, OAK LAWN, IL 60453-2089
(319) 325-0843
Mailing address
9333 S HARLEM AVE APT 4B, OAK LAWN, IL 60453-2089
(319) 325-0843

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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